NPI 1043331440

Wanda Sue Johnson, RMFCMF

Practitioner Specialist Durham, NC

Practice location

Address: 4228 Garrett Rd, Durham, NC 27707-3430
Phone: (919) 489-7408
Fax: (919) 490-5909

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in North Carolina →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1043331440
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2007
Record last updated: 11 Jul 2007

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.