Individual
REATHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 RICE BENT WAY, UNIT 8, COLUMBIA, SC 29229-6849
(803) 865-8113
(803) 865-8173
Mailing address
101 RICE BENT WAY, UNIT 8, COLUMBIA, SC 29229-6849
(803) 865-8113
(803) 865-8173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38623
SC
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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