JERRY LYNN JOHNSTON

FORT BRAGG, NC
NPI1609849835
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NC  104108)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
MR. JERRY LYNN JOHNSTON PA-C
WOMACK ARMY MEDICAL CENTER MCXC-COD, CREDENTIALS OFFICE, ATTN: SHEILA BLACKWELL
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8922
Mailing Address
MR. JERRY LYNN JOHNSTON PA-C
3865 TIMBERSTREAM DR
SOUTHPORT, NC 28461-9023
Phone number: 910-454-8686
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