NPI 1013239151

Ada Johnson

Practitioner Exclusive Provider Organization Yadkinville, NC

Practice location

Address: 903 W Main St, Yadkinville, NC 27055-7807
Phone: (336) 463-5510
Mailing address: 8045 Peak Rd, Clemmons, NC 27012-9789

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2883 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1013239151
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2010
Record last updated: 16 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.