Individual provider · Type 1 NPI
Johnanna Smith, LICENCE
Prosthetics Case Management · Durham, NC
NPI number
1336835701
Active
Practice location
1912 E Hwy Nc 54 Suite 100
Durham, NC 27713
Mailing address
1912 E Nc Highway 54
Durham, NC 27713-2235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | C41080 (NC) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
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About NPI 1336835701
Johnanna Smith, LICENCE's National Provider Identifier is 1336835701, issued on Apr 18, 2023. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Durham, NC. The record was last updated on Apr 18, 2023.