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Organization

RONALD L. JOHNSON, M.D., LLC

Active
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Organization

RONALD L. JOHNSON, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD JOHNSON SR. M.D. (OWNER)
(803) 786-0980
Entity
Organization

Contact information

Practice address
4100 N MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
Mailing address
4100 N MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—

Other

Enumeration date
12/01/2014
Last updated
12/01/2014
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