Individual
ISABEL MILES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 REIDVILLE RD, SPARTANBURG, SC 29301-5643
(864) 576-9201
Mailing address
330 HARRISON RD, ROEBUCK, SC 29376-3614
(864) 706-8146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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