Individual
BRUCE G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CHEVES ST STE 480B, FLORENCE, SC 29506-2650
(843) 432-1880
(843) 432-1022
Mailing address
800 E CHEVES ST STE 480B, FLORENCE, SC 29506-2650
(843) 432-1880
(843) 432-1022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
31188
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
31188
SC
Other
Enumeration date
06/08/2007
Last updated
02/22/2021
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