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Individual
DR. JOEL M JOHNSON III
Active
Individual
DR. JOEL M JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30798
GA
207Q00000X
Family Medicine Physician
Primary
18011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582355948
BCBS
SC
01
—
884046
BLUE CROSS
GA
01
—
DA3517
RR MCR PTAN
SC
01
—
P00168790
RAILROAD MEDICARE
—
01
—
P00335209
RAILROAD MEDICARE
GA
Enumeration date
07/11/2006
Last updated
06/03/2019
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