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1316569239
CAROLYN JOHNSON
COLUMBIA, SC
NPI
1316569239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 24448)
Enumeration Date
2020-05-13
Last Update Date
2021-04-12
Business Address
CAROLYN JOHNSON
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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Mailing Address
CAROLYN JOHNSON
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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