Alexandra Johnson
NPI #1659805927 in Columbia, South Carolina
Provider Information
- NPI Number
- 1659805927
- Entity Type
- Individual
- Name
- Alexandra Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Apr 13, 2017
- Last Updated
- Apr 13, 2017
Practice Location
- Address
- 544 MANSFIELD LN
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-9098
- Phone
- (803) 569-0641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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