Individual
DR. GRAEME HENRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8301 FARROW RD, COLUMBIA, SC 29203-3245
(803) 935-5604
(803) 935-5380
Mailing address
9 MEDICAL PARK RD, SUITE 200 A, COLUMBIA, SC 29203-8003
(803) 434-7950
(803) 434-8606
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
13379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133796
—
SC
Enumeration date
06/25/2006
Last updated
12/12/2012
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