Shannon Marie Johnson, NP-C | |
7900 Highway 76, Pendleton, SC 29670-8876 | |
(864) 654-1500 | |
Not Available |
Full Name | Shannon Marie Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7900 Highway 76, Pendleton, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801080619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3331 (South Carolina) | Primary |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
Mailing Address | Practice Location Address |
---|---|
Shannon Marie Johnson, NP-C 130 Highway 252, Anderson, SC 29621-5054 Ph: (864) 654-1500 | Shannon Marie Johnson, NP-C 7900 Highway 76, Pendleton, SC 29670-8876 Ph: (864) 654-1500 |
Mrs. Alison N Peeples, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 Constitution Ave, Pendleton, SC 29670 Phone: 864-940-4398 | |
Mrs. Charlotte Anne Grover Branyon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7611 Highway 76 Ste C, Pendleton, SC 29670 Phone: 864-546-5570 Fax: 864-546-5571 | |
Catherine Walker Zocchi, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5304 Highway 76, Pendleton, SC 29670 Phone: 864-261-9100 |