NPI 1174036800

Dane G Johnson

Practitioner Nutritionist Charleston, SC

Practice location

Address: 2021 Lakeshore Dr, Charleston, SC 29412-2017
Phone: (703) 851-9556

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in South Carolina →

Registry record

NPI: 1174036800
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2017
Record last updated: 16 Nov 2017

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.