Individual
DAVID CHARLES JOHANNESMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD2017-0982
NM
207X00000X
Orthopaedic Surgery Physician
Primary
MD51972
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD51972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519727
—
SC
Enumeration date
04/06/2012
Last updated
03/13/2020
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