Individual
SUSAN JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 MATHIS FERRY RD, MT PLEASANT, SC 29464-2927
(843) 388-4369
Mailing address
233 MATHIS FERRY RD, MT PLEASANT, SC 29464-2927
(843) 388-4369
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
756
SC
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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