Healthcare Provider Details

I. General information

NPI: 1023938263
Provider Name (Legal Business Name): SHERRIA S PERRY JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1463 EDGEFIELD HWY
AIKEN SC
29801-9485
US

IV. Provider business mailing address

1463 EDGEFIELD HWY
AIKEN SC
29801-9485
US

V. Phone/Fax

Practice location:
  • Phone: 803-293-8630
  • Fax:
Mailing address:
  • Phone: 803-293-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: