Provider Demographics
NPI:1639890106
Name:MCCANTS-JOHNSON, BRITTNEY CIARA
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:CIARA
Last Name:MCCANTS-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3406
Mailing Address - Country:US
Mailing Address - Phone:843-621-9266
Mailing Address - Fax:
Practice Address - Street 1:408 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3406
Practice Address - Country:US
Practice Address - Phone:843-621-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management