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Individual

MISS VIRGINIA JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4040 HIGHWAY 17, SUITE 104, MURRELLS INLET, SC 29576-5098
(843) 652-8150
(843) 652-8151
Mailing address
PO BOX 1209, MURRELLS INLET, SC 29576-1209
(843) 652-8220
(843) 520-8365

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2320
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2320
MEDICAL LICENSE
SC
Enumeration date
12/11/2006
Last updated
12/19/2016
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