Larry Johnson
NPI #1104618008 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104618008
- Entity Type
- Individual
- Name
- Larry Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 320 PINNACLE RIDGE DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29229-7076
- Phone
- (803) 479-8185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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