Individual
MRS. AMBER LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-5062
Mailing address
1431 MASTHEAD DR, MOUNT PLEASANT, SC 29466-2405
(262) 278-1633
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1352
SC
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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