Healthcare Provider Details

I. General information

NPI: 1114921954
Provider Name (Legal Business Name): JOHNSON NEUROLOGICAL CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N ELM ST
HIGH POINT NC
27262-4336
US

IV. Provider business mailing address

606 N ELM ST
HIGH POINT NC
27262-4336
US

V. Phone/Fax

Practice location:
  • Phone: 336-889-8877
  • Fax: 336-889-7832
Mailing address:
  • Phone: 336-889-8877
  • Fax: 336-889-7832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM KEITH ARMSTRONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 336-889-8877