Individual
ADDISON ANDERS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-2300
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL86320
SC
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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