SHANNON JOHNSON

Driver

Active Individual
NPI: 1316785777

Practice Address

17170 BLACK TOM ROAD
Moncks Corner, SC 29461

Phone: (854) 832-1533

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1316785777 is the National Provider Identifier for SHANNON JOHNSON, a Driver provider located in Moncks Corner, SC. This NPI was enumerated on July 18, 2024.
SHANNON JOHNSON practices at 17170 BLACK TOM ROAD, Moncks Corner, SC 29461.

Quick Facts

NPI
1316785777
Type
Individual
Enumerated
Jul 18, 2024
Last Updated
Jul 18, 2024

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