RODERICK DEMONT JOHNSON


Address: 11237 Randleman Rd, Randleman, NC 27317-8091
Phone: 3368483280

RODERICK DEMONT JOHNSON (NPI# 1265949366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265949366
Entity Type Individual
Full Name RODERICK DEMONT JOHNSON
Practice Address 11237 Randleman Rd
Randleman
NC 27317-8091
Practice Telephone 3368483280
Mailing Telephone 3368483280
Enumeration Date 2018-01-10
Last Update Date 2018-01-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver NC Other Service Providers

Other Providers RODERICK JOHNSON

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1609365840 Roderick Robert Johnson Hearing Instrument Specialist 600 Hospital Dr Ste 6, Clyde, NC 28721-8046 2018-05-03
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1417920786 Roderick G Johnson Specialist 901 Leighton Ave, Ste. 702, Anniston, AL 36207-5700 2006-02-08
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Office Location

Street Address 11237 RANDLEMAN RD
City RANDLEMAN
State NC
Zip Code 27317-8091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487162186 Specialty Care Transportation Non-emergency Medical Transport (VAN) 11237 Randleman Rd, Randleman, NC 27317-8091 2018-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356629026 Eric James Ablott Optometrist 200 West Academy St, Randleman, NC 27317 2011-07-29
1891960241 Pine Haven Family Medicine Pa Family Medicine 604 West Academy St, Randleman, NC 27317 2008-04-28
1902923139 Sanford M Cates Dentist 107 West Naomi St, Randleman, NC 27317 2007-03-23
1295804417 Grant James Haviland Dentist 215 West Naomi Street, Randleman, NC 27317 2006-11-06
1396763843 Therapeutic Alternatives Inc In Home Supportive Care 4270 Heath Dairy Road, Randleman, NC 27317 2006-07-17
1982676441 John James Slatosky Jr. Family Medicine 604 W Academy St, Randleman, NC 27317 2006-02-07
1598269748 Carol A Bullard Nurse Practitioner 608 W Academy St, Randleman, NC 27317 2018-03-22
1174026058 Jordan C Mullins Specialist/Technologist 201 Hammond St, Randleman, NC 27317-1435 2018-03-16
1992867402 Ryan E Snipes Optometrist 200 W Academy St, Randleman, NC 27317-1504 2006-12-14
1558900035 Eyecarecenter Od Pa Optometrist 200 W Academy St, Randleman, NC 27317-1504 2019-12-31
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

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1952901571 Kathy Robinson Driver 1510 Benjamin Pkwy Apt F, Greensboro, NC 27408-4617 2020-11-01
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1407462799 Shanice Gibbs Driver 1934 Longleaf Ln, Greenville, NC 27858-9049 2020-09-22
1336750959 Ebony Nichole Sanders Driver 312 Kilgo, Clayton, NC 27520 2020-08-17
1598375479 Cierra N Dail Driver 1806 N Herritage St, Kinston, NC 28501-2216 2020-08-05
1588274633 Keila Rodriguez Driver 2642 Green Heron Dr, Fayetteville, NC 28306-3580 2020-08-04
1437768355 Joselyn Hillmon Driver 201 New Bridge St Ste 107, Jacksonville, NC 28540-4736 2020-07-27
1225655897 Omar S Williams Driver 212 Academy Dr, Greenville, NC 27834-8775 2020-06-30
1992328124 Tori Wentz Driver 7137 Badenoch Ct, Charlotte, NC 28217-3483 2020-05-21
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Competitor

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City RANDLEMAN
Zip Code 27317

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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