Individual provider · Type 1 NPI
Larry Johnson
Customized Equipment (DME) · Columbia, SC
NPI number
1104618008
Active
Practice location
320 Pinnacle Ridge Dr
Columbia, SC 29229-7076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Other customized equipment (dme) providers in Columbia
About NPI 1104618008
Larry Johnson's National Provider Identifier is 1104618008, issued on May 19, 2025. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Columbia, SC. The record was last updated on May 19, 2025.