NPI 1952774812
Archie Johnson, PHD
Practice location
- Address
- 1107 48th Ave N, Myrtle Beach, SC 29577-5443
- Phone
- (843) 459-8154
- Fax
- (843) 347-9596
- Mailing address
- 1107 48th Ave N, Pkwy Ofc Plaza, Suit 310 D, Myrtle Beach, SC 29577-5443
Registered specialties
Psychoanalyst
Primary
Registry record
- NPI
- 1952774812
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Nov 2015
- Record last updated
- 6 Nov 2015
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.