ADA JOHNSON

YADKINVILLE, NC
NPI1013239151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: NC  2883)
Enumeration Date2010-02-16
Last Update Date2010-02-16
Business Address
ADA JOHNSON
903 W MAIN ST
YADKINVILLE, NC 27055-7807
Phone number: 336-463-5510
Mailing Address
ADA JOHNSON
8045 PEAK RD
CLEMMONS, NC 27012-9789
Phone number: 336-463-5510