NPI 1104618008

Larry Johnson

Practitioner Customized Equipment (DME) Columbia, SC

Practice location

Address: 320 Pinnacle Ridge Dr, Columbia, SC 29229-7076
Phone: (803) 479-8185

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in South Carolina →

Registry record

NPI: 1104618008
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2025
Record last updated: 19 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.