Individual
GREGORY ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 WREN SCHOOL RD, PIEDMONT, SC 29673-8033
(864) 859-0740
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27071
SC
208000000X
Pediatrics Physician
27071
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270717
—
SC
01
—
P01012806
RAILROAD MEDICARE
SC
Enumeration date
09/25/2006
Last updated
03/23/2024
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