Individual
JILL MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 438-3800
(803) 438-3898
Mailing address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 438-3800
(803) 438-3898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL1572
SC
207V00000X
Obstetrics & Gynecology Physician
OS14223
FL
Other
Enumeration date
07/11/2012
Last updated
07/19/2021
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