IndividualActive
Stephanie Provost Johnston, M.D.
NPI 1801073812 · Pediatric Hospice and Palliative Medicine Physician · Greenville, SC
Provider details
- NPI number
- 1801073812
- Entity type
- Individual
- Primary specialty
- Pediatric Hospice and Palliative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 36228 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
890 W Faris Rd
Suite 470
Greenville, SC 29605-4253
Phone: (864) 455-5938
Approximate (ZIP-level) locationGet directions
Mailing address
1 Independence PT
Greenville, SC 29615-4545
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.