Individual
MRS. SUSANNE P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 E HOSPITAL ST STE 3, MANNING, SC 29102-3149
(803) 435-8828
(803) 435-2239
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1641
—
SC
Enumeration date
08/31/2009
Last updated
03/31/2021
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