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Contact Information

JESSICA L JOHNSON, DO
11082 N RADIO STATION RD
SENECA, SC29678
 Phone: 864-882-2314
 Fax: 843-882-3677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JESSICA L JOHNSON · (Female)

NPI Number 1285059774
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/20/2014
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 36682
  • SC Medicaid 366820
Hospital affiliation(s)
  • ST FRANCIS-DOWNTOWN - (Acute Care)
    ONE ST FRANCIS DR
    GREENVILLE, SC 29601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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