Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Johnson

Individual provider Customized Equipment (DME) · NPI 1104618008

Larry Johnson is a Customized Equipment (DME) in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025

Practice location Address checks out

320 Pinnacle Ridge Dr
Columbia, SC 29229-7076
Phone: (803) 479-8185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X (SC)

Record details

NPI number1104618008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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