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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE BROOKE PROVOST JOHNSTON, M.D.

Active

STEPHANIE BROOKE PROVOST JOHNSTON, M.D. is a Hospice and Palliative Medicine (Pediatrics) healthcare provider located in GREENVILLE, South Carolina. NPI 1801073812 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine (Pediatrics) · GREENVILLE, SC

Registration Details

NPI Number
1801073812
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2008 (18.375398925925 yrs)
Last Updated
Jan 30, 2024
Licenses
36228 (SC)
68041741205 (UT)

Practice Information

Address
890 W FARIS RD
SUITE 470
GREENVILLE, SC, 296054253
Browse SC providers · Browse ZIP 29605
Phone
8644555938
Additional Specialty
Pediatrics

Other Hospice and Palliative Medicine (Pediatrics) Providers in GREENVILLE, SC

Name Credential NPI
ARUN LAKSHMAN SINGH M.D. 1922309343
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.