Most Relevant Information
Provider Data
| NPI Number: | 1003471848 |
| Provider Name: | SHIRON JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 251G00000X |
| Specialty: | Hospice Care, Community Based |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2019 |
| Last Updated: | 05/07/2019 |
Provider Practice Location
410 W LIBERTY ST STE 202
SUMTER
SC
291504865
Practice Location Phone/Fax
| Phone: | 8038484013 |
| Fax: | 8038484029 |
Provider Mailing Location
410 W LIBERTY ST STE 202
SUMTER
SC
291504865
Provider Mailing Phone/Fax
| Phone: | 8038484013 |
| Fax: | 8038484029 |