Individual
CARLA FUNK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
191 OLD GAPWAY ROAD, SALTERS, SC 29590-0064
(843) 312-0209
Mailing address
PO BOX 64, SALTERS, SC 29590-0064
(843) 312-0209
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
236349
SC
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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