Individual
SHANNON MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7900 HIGHWAY 76, PENDLETON, SC 29670-8876
(864) 654-1500
Mailing address
130 HIGHWAY 252, ANDERSON, SC 29621-5054
(864) 654-1500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3331
SC
Other
Enumeration date
09/05/2007
Last updated
03/06/2020
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