Individual
CAROLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762
Mailing address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 250-0620
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.20707 R
SC
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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