Individual
DR. JOHNNY W TROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 S JONES RD, OLANTA, SC 29114-9705
(843) 396-9730
(843) 396-9735
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16500
SC
207R00000X
Internal Medicine Physician
Primary
16500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165001
—
SC
Enumeration date
06/16/2006
Last updated
04/19/2024
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