Individual
JOHN KIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12867
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128677
—
SC
01
—
576007863180
BCBS OF SC
SC
01
—
P00318488
RR MEDICARE
SC
01
—
P00801293
RR MEDICARE
SC
Enumeration date
06/17/2005
Last updated
05/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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