MARCUS ANDREW JOHNSON

CONWAY, SC
NPI1659393809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
-- MARCUS ANDREW JOHNSON BS
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- MARCUS ANDREW JOHNSON BS
1508 HEMINGWAY ST
MYRTLE BEACH, SC 29577-3329
Phone number: 843-448-4225