Individual
DR. JOEL M JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 MAIN ST, HILTON HEAD, SC 29926-1648
(843) 681-3777
(843) 681-9996
Mailing address
93 MAIN ST, HILTON HEAD, SC 29926-1648
(843) 681-3777
(843) 681-9996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30798
GA
207Q00000X
Family Medicine Physician
Primary
18011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582355948
BCBS
SC
01
—
884046
BLUE CROSS
GA
01
—
DA3517
RR MCR PTAN
SC
01
—
P00168790
RAILROAD MEDICARE
—
01
—
P00335209
RAILROAD MEDICARE
GA
Enumeration date
07/11/2006
Last updated
06/03/2019
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