Individual
TIFFANY N. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., LMT
Contact information
Practice address
547 MILLER RD, SUITE A, SUMTER, SC 29150-3332
(803) 938-9000
Mailing address
547 MILLER RD, SUITE A, SUMTER, SC 29150-3332
(803) 938-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3539
SC
225700000X
Massage Therapist
6872
SC
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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