Tabitha Johnson
Technician/Technologist
3215 Martin Luther King Jr Blvd Suite O
Anderson
, South Carolina 29625-1715
Tabitha Johnson
Technician/Technologist
3215 Martin Luther King Jr Blvd Suite O
Anderson
, South Carolina 29625-1715
(864) 540-8406
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Tabitha Johnson
- 3212 Martin Luther King Jr Boulevard Suite O
- Anderson, SC
- Zip : 29625
- Fax : (864) 540-8406
- Phone : (864) 540-8404
Second Address
- Tabitha Johnson
- 3215 Martin Luther King Jr Blvd Suite O
- Anderson, SC
- Zip : 29625-1715
- Fax : (864) 540-8406
- Phone : (864) 540-8404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1063943231 |
|---|---|
| Provider Name | Tabitha Johnson |
| First Address | Anderson, SC 29625 |
| Second Address | Anderson, SC 29625-1715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2017 |
| Last Update Date | 21/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.