Individual
DIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 N SALLY HILL RD, TIMMONSVILLE, SC 29161-9307
(843) 593-2626
Mailing address
1203 N SALLY HILL RD, TIMMONSVILLE, SC 29161-9307
(843) 593-2626
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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