Individual
MRS. ANJINETTA YATES-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
900 BOWMAN RD, SUITE 103, MOUNT PLEASANT, SC 29464-3203
(843) 881-5844
(843) 881-5012
Mailing address
900 BOWMAN RD, SUITE 103, MOUNT PLEASANT, SC 29464-3203
(843) 881-5844
(843) 881-5012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
712
SC
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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