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Contact Information

JASON M JOHNSON, DO
100 E WOOD ST
SUITE 202
SPARTANBURG, SC29303-3004
 Phone: 864-560-7070
 Fax: 864-560-7033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON M JOHNSON · (Male)

NPI # 1336245570
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/15/2006
Last updated 08/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • SC License # O624
  • NC Medicaid 5918438
  • SC Medicaid 006246
  • SC Other P00980724 RAILROAD MEDICARE
Hospital affiliation(s)
  • EXEMPLA SAINT JOSEPH HOSPITAL - (Acute Care)
    1835 FRANKLIN ST
    DENVER, CO 80218
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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