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1407484041
VISTINA METTS JOHNSON
COLUMBIA, SC
NPI
1407484041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: SC 23734)
Enumeration Date
2020-03-30
Last Update Date
2021-07-20
Business Address
VISTINA METTS JOHNSON
3 RICHLAND MEDICAL PARK DR STE 510
COLUMBIA, SC 29203-6854
Phone number: 803-296-2726
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Mailing Address
VISTINA METTS JOHNSON
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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