Provider Demographics
NPI:1124783899
Name:MCFADDEN, TOIEKKA JOHNSON
Entity type:Individual
Prefix:MRS
First Name:TOIEKKA
Middle Name:JOHNSON
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TOIEKKA
Other - Middle Name:CURTESE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3240 CEDAR CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-4169
Mailing Address - Country:US
Mailing Address - Phone:843-245-8400
Mailing Address - Fax:
Practice Address - Street 1:130 E CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-5726
Practice Address - Country:US
Practice Address - Phone:843-332-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC248325163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health