Johnson-Thomas Medical Training Center, LLC
Registered Nurse, Administrator in Florence, SC. Organization (NPI-2).
NPI number1134879133
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1134879133
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnson-Thomas Medical Training Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2022
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | – | – | Yes |
Other names
- Johnson-Thomas Medical Training Center, LLC (Former Legal Business Name)
Practice location
2215 W Palmetto St Ste FFlorence, SC 29501-3971
Phone 843-407-4046 · Fax 843-407-4046
Mailing address
2215 W Palmetto St Ste FFlorence, SC 29501-3971
Phone 843-319-8642
Authorized official
Alicia J. Thomas
Owner
8433198642
Is something wrong?
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