Individual
MRS. SHARON T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A, R.N,
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN185304
GA
225200000X
Physical Therapy Assistant
PTA002269
GA
225200000X
Physical Therapy Assistant
PTA1521
SC
363LF0000X
Family Nurse Practitioner
Primary
20287
SC
363LF0000X
Family Nurse Practitioner
RN185304
GA
Other
Enumeration date
03/26/2009
Last updated
11/03/2022
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