JIM M JOHNSON

ORANGEBURG, SC
NPI1053599530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-02-06
Last Update Date2008-02-06
Business Address
-- JIM M JOHNSON
1464 CAROLINA AVENUE
ORANGEBURG, SC 29115-1464
Phone number: 803-534-1234
Mailing Address
-- JIM M JOHNSON
PO BOX 109
ORANGEBURG, SC 29116-0109
Phone number: 803-534-1234