Individual
REGANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 S MCDUFFIE ST, ANDERSON, SC 29624-3356
(864) 318-9757
Mailing address
2206 S MCDUFFIE ST, ANDERSON, SC 29624-3356
(846) 509-3576
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/29/2023
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