|Active||Over 10 years ago|
|2601 FOREST DR
COLUMBIA SC, 29204-2363, US
|504 CAMBOUT ST
COLUMBIA SC, 29210-7121, US
|License State||South Carolina|
|Remove 1023152543 NPI Number|
According to our database, Gwanetia M Johnson PTA NPI is 1023152543, taxonomy code is 225200000X and license number is 1960, license state is located at South Carolina. Gwanetia M Johnson PTA physically located at 2601 Forest Dr, Columbia SC, 29204-2363. NPI Number Gwanetia M Johnson PTA has the Individual type.
1023152543 NPI number is provided on an as is basis without warranty of any kind. 1023152543 is maintained by the National Plan & Provider Enumeration System. The contents of Gwanetia M Johnson PTA are for informational purposes only.