NPI 1316785777

Shannon Johnson

Practitioner Driver Moncks Corner, SC

Practice location

Address: 17170 Black Tom Road, Moncks Corner, SC 29461
Phone: (854) 832-1533

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1316785777
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2024
Record last updated: 18 Jul 2024

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.