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1013573328
TRACIE JOHNSON
COLUMBIA, SC
NPI
1013573328
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Former Name
TRACIE POWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22850)
Enumeration Date
2019-05-13
Last Update Date
2022-11-03
Business Address
TRACIE JOHNSON APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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Mailing Address
TRACIE JOHNSON APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Copy
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