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Individual

SHANNON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17170 BLACK TOM ROAD, MONCKS CORNER, SC 29461
(854) 832-1533
Mailing address
17170 BLACK TOM ROAD, MONCKS CORNER, SC 29461

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/18/2024
Last updated
07/18/2024
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform