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1255774014
ANDREW EDWARD JOHANSEN
GREENVILLE, NC
NPI
1255774014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NC 28762)
Enumeration Date
2013-04-11
Last Update Date
2022-04-27
Business Address
Dr. ANDREW EDWARD JOHANSEN MD
2101 W ARLINGTON BLVD STE 210
GREENVILLE, NC 27834-5758
Phone number: 252-931-7638
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Mailing Address
Dr. ANDREW EDWARD JOHANSEN MD
PO BOX 30750
GREENVILLE, NC 27833-0750
Phone number: 252-931-7638
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