Individual
MS. SUZANNE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 W MAIN ST, MONCKS CORNER, SC 29461-2640
(843) 719-4600
Mailing address
325 GULLEDGE ST APT E8, MONCKS CORNER, SC 29461-3573
(843) 670-0678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225782
TN
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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