Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 044317 | CT |
Y | 207VE0102X | Reproductive Endocrinologist | 2009-00867 | NC |
NPI | 1548325871 |
---|---|
Provider Name | Dr. Erika Beth Johnston-Macananny |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 14/11/2012 |