Individual provider · NPI-1

Mary Johnson Austin

Home Health Aide · Winston Salem, NC

NPI number1750971172
StatusActive
Last updated in NPPESJan 20, 2021

Details

NPI
1750971172
Entity type
Individual (NPI-1)
Name
Mary Johnson Austin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 20, 2021
Certification date
Jan 20, 2021
Last updated
Jan 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1230 E Clemmonsville Rd
Winston Salem, NC 27107-4206

Phone 336-546-2503

Mailing address

1230 E Clemmonsville Rd
Winston Salem, NC 27107-4206

Phone 336-546-2503

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