Individual
JOHNNY ROBERT LINDQUIST III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 CENTENNIAL WAY, GREENVILLE, SC 29605-4662
(864) 522-8000
(864) 522-8005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.069905
IL
208800000X
Urology Physician
Primary
87669
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125.069905
—
IL
05
—
876699
—
SC
Enumeration date
06/11/2017
Last updated
02/13/2023
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