Organization
BOUNTYLAND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R JOHNSON JR. DO (OWNER-CHIROPRACTOR)
(864) 882-6395
Entity
Organization
Contact information
Practice address
1741 BLUE RIDGE BLVD, SENECA, SC 29672-6613
(864) 882-6395
(864) 882-9248
Mailing address
1741 BLUE RIDGE BLVD, SENECA, SC 29672-6613
(864) 882-6395
(864) 882-9248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
719
SC
Other
Enumeration date
09/14/2006
Last updated
09/26/2018
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