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Samuel Johnson
NPI 1740628700 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2005 Shannon Gray Ct
Jamestown, NC 27282 - Phone
- (336) 307-4729
- Organisation at this address
- Graypothecary, Llc
Greatest Generation, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-11
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