Individual
JOHNNY ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W CALHOUN ST UNIT C, DILLON, SC 29536-3907
(843) 615-0989
Mailing address
300 W CALHOUN ST UNIT C, DILLON, SC 29536-3907
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-0822
SC
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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