SearchSouth CarolinaCustomized Equipment (DME)

Larry Johnson

NPI 1104618008 · on the registry since 2025 · sole proprietor

Practice

Address
320 Pinnacle Ridge Dr
Columbia, SC 29229
Phone
(803) 479-8185

Registry record

Primary taxonomy
Customized Equipment (DME)
332BC3200X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina