Individual
DR. DONALD R JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 CHUCK DAWLEY BLVD, SUITE 200, MT PLEASANT, SC 29464-4183
(843) 849-1551
(843) 849-6591
Mailing address
217 DOZIER BLVD, SUITE 100, FLORENCE, SC 29501-4090
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
12300
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123002
—
SC
01
—
P00000850
RAILROAD MEDICARE
—
Enumeration date
11/03/2005
Last updated
08/24/2010
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