Johnson, Anthony

Johnson, Anthony is an individual health care provider with primary practice located at 149 E Carolina Ave , Hartsville SC 29550-4213. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Johnson, Anthony can be contacted via phone (843) 857-0074.

Contact Information

Primary practice address
149 E Carolina Ave Hartsville SC 29550-4213
Phone: (843) 857-0074
Fax: (843) 857-0081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457570079
LBN Legal business name Johnson, Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457570079 NPPES
South Carolina MEDICAID 376241

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