Johnson, Shannon Marie

Johnson, Shannon Marie is an individual health care provider with primary practice located at 7900 Highway 76 , Pendleton SC 29670-8876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Shannon Marie can be contacted via phone (864) 654-1500.

Contact Information

Primary practice address
7900 Highway 76 Pendleton SC 29670-8876
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3331 South Carolina

Profile Details

NPI number 1801080619
LBN Legal business name Johnson, Shannon Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Mar 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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