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Individual

ABIGAIL DIANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Contact information

Practice address
OB HOSPITALIST GROUP, 777 LOWNDES HILL RD. BLDG. 1, GREENVILLE, SC 29607
(864) 908-3530
Mailing address
720 S. 3RD ST., ROGES, AR 72756
(479) 640-0451

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
A03189
AR
367A00000X
Advanced Practice Midwife
Primary
M02112 CNM
AR

Other

Enumeration date
01/12/2009
Last updated
09/11/2023
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