Individual
JEB STUART JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5214 LANCASTER ST, NORTH CHARLESTON, SC 29405-4132
(443) 804-4841
Mailing address
5214 LANCASTER ST, NORTH CHARLESTON, SC 29405-4132
(443) 804-4841
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3691813
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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