Individual
VIRGINIA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
32 W. PINE CIRCLE, WAGENER, SC 29164
(803) 508-4979
Mailing address
32 W. PINE CIRCLE, WAGENER, SC 29164
(803) 508-4979
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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