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Contact Information

JOHN K JOHNSON, MD
200 PATEWOOD DR
SUITE B260
GREENVILLE, SC29615-3593
 Phone: 864-454-4600
 Fax: 864-464-4605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN K JOHNSON · (Male)

NPI # 1508861345
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2005
Last updated 05/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 12867
  • SC Medicaid 128677
  • SC Other 576007863180 BCBS OF SC
  • SC Other P00318488 RR MEDICARE
  • SC Other P00801293 RR MEDICARE
Hospital affiliation(s) Not Available
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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