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Individual

LARRY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 PINNACLE RIDGE DR, COLUMBIA, SC 29229-7076
(803) 479-8185
Mailing address
320 PINNACLE RIDGE DR, COLUMBIA, SC 29229-7076
(803) 479-8185

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
SC

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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