Search › North Carolina › 1710I1002X
Jacob Johnson, SOIDC
NPI 1588273999 · on the registry since 2020 · sole proprietor
Practice
- Address
- 413 Salvo Ct
Holly Ridge, NC 28445 - Phone
- (573) 201-6504
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2020-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina