Individual
HALEY JUNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1906 MAIN ST, CONWAY, SC 29526-3333
(843) 248-3843
Mailing address
413 W PALMS DR, MYRTLE BEACH, SC 29579
(803) 235-5223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.9910GD
SC
Other
Enumeration date
06/17/2021
Last updated
07/15/2026
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