Provider Demographics
NPI:1528846151
Name:JOHNSON, FRANKLIN DUVAL III
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:DUVAL
Last Name:JOHNSON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-5253
Mailing Address - Country:US
Mailing Address - Phone:252-402-5012
Mailing Address - Fax:
Practice Address - Street 1:406 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-5253
Practice Address - Country:US
Practice Address - Phone:252-402-5012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician