NPI 1366920647
Madison Lynn Johnston
Practice location
- Address
- 104 Founders Dr, Conway, SC 29526-8658
- Phone
- (843) 349-2920
- Mailing address
- 3317 Ammons Dr, Wilmington, NC 28405-6431
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1366920647
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jul 2018
- Record last updated
- 6 Dec 2019
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.