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1386383032
MACKENZIE BLAIR JOHNSON
COLUMBIA, SC
NPI
1386383032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4443)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-06-01
Last Update Date
2022-06-28
Business Address
MACKENZIE BLAIR JOHNSON PA-C
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203-6862
Phone number: 803-434-8323
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Mailing Address
MACKENZIE BLAIR JOHNSON PA-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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