Tabitha Johnson

NPI #1063943231 in Anderson, South Carolina

Provider Information

NPI Number: 1063943231
Entity Type: Individual
Name: Tabitha Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Enumeration Date: Mar 21, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 3215 MARTIN LUTHER KING JR BLVD
Address 2: SUITE O
City: Anderson
State: South Carolina
ZIP Code: 29625-1715
Phone: (864) 540-8404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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