Individual
ALISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1910 GREGG ST, COLUMBIA, SC 29201-2618
(803) 779-1420
(803) 931-0676
Mailing address
1910 GREGG ST, COLUMBIA, SC 29201-2618
(803) 779-1420
(803) 931-0676
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1121199
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121199
PA BOARD CERTIFICATION
SC
Enumeration date
10/08/2014
Last updated
10/08/2014
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