TRACIE JOHNSON

COLUMBIA, SC
NPI1013573328
Former NameTRACIE POWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22850)
Enumeration Date2019-05-13
Last Update Date2022-11-03
Business Address
TRACIE JOHNSON APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
TRACIE JOHNSON APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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