Individual
LAURA L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
109 BARTON CREEK CT, COLUMBIA, SC 29229-8027
(803) 256-2286
(803) 419-8430
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22292
SC
Other
Enumeration date
10/08/2018
Last updated
11/09/2020
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