Individual
KIRK H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BETHEA DR, HILTON HEAD ISLAND, SC 29926-4702
(843) 682-7480
(843) 681-9169
Mailing address
22 BETHEA DR, HILTON HEAD ISLAND, SC 29926-4702
(843) 682-7480
(843) 681-9169
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
047281
MA
207X00000X
Orthopaedic Surgery Physician
Primary
30514
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108702
—
CT
05
—
0162388
—
MA
05
—
GP5241
—
SC
Enumeration date
05/11/2006
Last updated
04/24/2014
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