Individual
DOROTHY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 953-3470
Mailing address
9630 SCARBOROUGH CT, SUMMERVILLE, SC 29485-7943
(321) 243-0054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253396
SC
Other
Enumeration date
11/19/2007
Last updated
09/11/2023
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