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Russell Johnson, BC-HIS

NPI 1417172966 · on the registry since 2007 · sole proprietor

Practice

Address
1522 Gregg St
Columbia, SC 29201
Phone
(803) 779-2430
Fax
(803) 779-3458

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-03

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