Individual
LINDSAY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
199 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-3589
(843) 738-0500
Mailing address
199 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-3589
(843) 738-0500
(843) 738-0505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/12/2021
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