Individual
KATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-2718
(615) 881-6518
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-2718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MDO.94626
SC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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