Johnson, Laura Anne
Johnson, Laura Anne is an individual health care provider with primary practice located at 727 Se Main St Ste 320 , Simpsonville SC 29681-3249. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Laura Anne can be contacted via phone (864) 454-6440.Contact Information
Primary practice address
727 Se Main St Ste 320
Simpsonville SC 29681-3249
Phone: (864) 454-6440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33664 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33664 | South Carolina |
Profile Details
| NPI number | 1467747709 |
|---|---|
| LBN Legal business name | Johnson, Laura Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2011 |
| Last updated | May 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467747709 | NPPES |
| South Carolina | MEDICAID | 336648 |
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