Individual
BRANDON FITTS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9165 TWO NOTCH RD, COLUMBIA, SC 29223-5832
(803) 788-2560
(803) 788-1363
Mailing address
9165 TWO NOTCH RD, COLUMBIA, SC 29223-5832
(803) 788-2560
(803) 788-1363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC 4008
TN
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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