Individual
CAROLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 STONE DR, ANDERSON, SC 29625-2710
(864) 356-1397
Mailing address
113 STONE DR, ANDERSON, SC 29625-2710
(864) 356-1397
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
06/05/2014
Last updated
06/09/2014
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