NPI | 1942338538 |
---|---|
Former Legal Business Name | WILLIAM J. JOHNCOCK DPM |
Entity Type | Organization |
Authorized Contact | WILLIAM JESSE JOHNCOCK Sole Member 828-327-3029 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 348) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2012-12-06 |