Individual
PAMELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W WASHINGTON ST, HARTSVILLE, SC 29550-5621
(843) 857-3347
Mailing address
905 COLONY RD, HARTSVILLE, SC 29550-7969
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201906
SC
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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