Individual
DOUGLAS THOMAS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 PATEWOOD DR STE A140, GREENVILLE, SC 29615-3585
(864) 454-5125
(864) 241-9201
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2011-01906
NC
207K00000X
Allergy & Immunology Physician
Primary
967
SC
207K00000X
Allergy & Immunology Physician
DO840
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009671
—
SC
05
—
5920097
—
NC
05
—
PENDING
—
SC
Enumeration date
07/20/2006
Last updated
08/16/2022
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