Vincent Johnson APRN

NPI 1053717082 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053717082
Gender Male
Enumeration Date 11/19/2014
Last Updated 04/18/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
110A SPRINGHALL DR
GOOSE CREEK SC, 29445-5335, US
Phone (843) 266-2520
Fax (843) 553-4436
Business Location
PO BOX 118008
NORTH CHARLESTON SC, 29423-8008, US
Phone (843) 266-2520
Fax (843) 569-5895
Toxanomy
Taxonomy Code 363LF0000X
License State South Carolina
License Number 19182
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According to our database, Vincent Johnson APRN NPI is 1053717082, taxonomy code is 363LF0000X and license number is 19182, license state is located at South Carolina. Vincent Johnson APRN physically located at 110a Springhall Dr, Goose Creek SC, 29445-5335. NPI Number Vincent Johnson APRN has the Individual type.

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1053717082 NPI number is provided on an as is basis without warranty of any kind. 1053717082 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Johnson APRN are for informational purposes only.