Individual
PAULA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LD RD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-5056
(864) 725-5111
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-5056
(864) 725-5111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
391
SC
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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