Individual provider · Type 1 NPI

Thomas Randolph Johnston Iii

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1649004516 Active

Practice location

One Medical Center Blvd
Winston Salem, NC 27157-0004

Call (336) 716-3948 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649004516

Thomas Randolph Johnston Iii's National Provider Identifier is 1649004516, issued on Aug 31, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 10, 2025.