Randy J. Johnson in Winston Salem - Professional

Randy J. Johnson - NPI 1790745404

Randy J. Johnson is a Professional in Winston Salem, North Carolina. Randy J. Johnson practices all healthcare services and medical treatments related to Professional. The NPI Number for Randy J. Johnson is 1790745404. The last update date is 2023-05-03.

Randy J. Johnson's current location address is 713 S Marshall St, Winston Salem, North Carolina. You can contact this provider via phone number 3367227266 and fax number 3362010538. The mailing address for Randy J. Johnson is 713 S Marshall St, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy J. Johnson
Address 713 S Marshall St, Winston Salem, North Carolina
Phone Number 3367227266
Fax Number 3362010538
Sole Proprietor N
Credentials LCMHC

NPI Number Detail

NPI Number 1790745404
Provider Enumeration Date 2006-03-25
Last Updated Date 2023-05-03

Provider Mailing Address Detail

Address 713 S Marshall St
City Winston Salem
State North Carolina (NC)
Post Code 271015808
Phone Number 3367227266
Fax Number 3362010538

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 3008
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6102482 NC --
1236V NC BCBS OF NC
D9674 NC MEDCOST
6102747 NC --
D0751 NC MEDCOST

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FAQs about Randy J. Johnson

What is the unique identification code assigned to Randy J. Johnson by the Centers for Medicare & Medicaid Services?

The Randy J. Johnson has been issued the NPI (National Provider Identifier) 1790745404. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Randy J. Johnson is geographically located?

The Randy J. Johnson is physically situated at the following location: 713 S Marshall St, Winston Salem, NC, 271015808.

What is Randy J. Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Randy J. Johnson's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.

When did the Randy J. Johnson receive its 1790745404?

The Randy J. Johnson was issued its 1790745404 on 2006-03-25, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Randy J. Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randy J. Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-03.

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