Individual
JESSICA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
4883 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 663-8393
Mailing address
4883 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 663-8393
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-0734
SC
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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