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Individual

DR. ARCHIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1107 48TH AVE N, MYRTLE BEACH, SC 29577-5443
(843) 459-8154
(843) 347-9596
Mailing address
1107 48TH AVE N, PKWY OFC PLAZA, SUIT 310 D, MYRTLE BEACH, SC 29577-5443
(843) 459-8154
(843) 347-9596

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
2790
SC

Other

Enumeration date
11/01/2015
Last updated
11/06/2015
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