Individual
LAURA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 N OKATIE HWY, RIDGELAND, SC 29936-8276
(843) 987-7400
(843) 987-0197
Mailing address
721 N OKATIE HWY, RIDGELAND, SC 29936-8276
(843) 987-7400
(843) 987-0197
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
66713
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66713
REGISTERED NURSE
SC
Enumeration date
08/04/2006
Last updated
07/08/2007
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