Individual
LAUREL D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
391 SERPENTINE DR, SUITE 200, SPARTANBURG, SC 29303-3096
(404) 478-8785
Mailing address
50 SHADOWBROOK LN, PISGAH FOREST, NC 28768-9501
(828) 877-6462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115598
NC
Other
Enumeration date
06/21/2006
Last updated
04/29/2015
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