Roderick Demont Johnson
Driver in Randleman, NC. Individual provider (NPI-1).
NPI number1265949366
StatusActive
Last updated in NPPESJan 10, 2018
Details
- NPI
- 1265949366
- Entity type
- Individual (NPI-1)
- Name
- Roderick Demont Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2018
- Last updated
- Jan 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | NC | Yes |
Practice location
11237 Randleman RdRandleman, NC 27317-8091
Phone 336-848-3280
Mailing address
11237 Randleman RdRandleman, NC 27317-8091
Phone 336-848-3280
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.