Individual
PAIGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3485 PARK AVENUE BLVD, MT PLEASANT, SC 29466-7242
(843) 800-7007
Mailing address
130 CANNON ST APT A, CHARLESTON, SC 29403-5765
(615) 364-6753
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I-49637
SC
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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