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Randy Johnson
Prosthetic/Orthotic Supplier in Greensboro, North Carolina
NPI 1629247317

Randy Johnson is a Prosthetic/Orthotic Supplier based in Greensboro, NC. Randy Johnson practices in Greensboro, NC. The NPI Number for Randy Johnson is 1629247317 and holds a License No. (North Carolina).

The current practice location address for Randy Johnson is 405 Parkway, Greensboro, NC and can be reached out via phone at 336-676-5394 and via fax at 336-676-5395.

Location: 405 Parkway, Greensboro, NC, 27401-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629247317
Provider Name
Randy Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 Parkway, Greensboro, NC, 27401-1308
Phone Number
336-676-5394
Fax Number
336-676-5395
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 Parkway
City
Greensboro
State
North Carolina
Zip
27401-1308
Phone Number
336-676-5394
Fax Number
336-676-5395
person
Provider Business Mailing Address Details
Address
405 Parkway
City
Greensboro
State
North Carolina
Zip
27401-1308
Phone Number
336-676-5394
Fax Number
336-676-5395
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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