Individual
JACK JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4040 HIGHWAY 17 UNIT 104, MURRELLS INLET, SC 29576-5098
(864) 561-1716
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL38420
SC
Other
Enumeration date
06/16/2015
Last updated
09/29/2025
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