Individual
VINCENT BERNARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19182
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3041
—
SC
Enumeration date
11/19/2014
Last updated
06/20/2023
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