Individual
MR. RUSSELL JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
1522 GREGG ST, COLUMBIA, SC 29201-3530
(803) 779-2430
(803) 779-3458
Mailing address
1522 GREGG ST, COLUMBIA, SC 29201-3530
(803) 779-2430
(803) 779-3458
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
157
SC
Other
Enumeration date
04/17/2007
Last updated
12/03/2014
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