Individual
JENNIFER THERESA JOHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34288
SC
207L00000X
Anesthesiology Physician
64840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342882
—
SC
Enumeration date
07/08/2008
Last updated
05/19/2024
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