Individual
TAVON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5251 HUTTON CT, FLORENCE, SC 29506-3466
(843) 495-8530
Mailing address
5251 HUTTON CT, FLORENCE, SC 29506-3466
(843) 495-8530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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