Individual
DR. JOHN ALEXANDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046866
GA
208M00000X
Hospitalist Physician
Primary
38746
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00876697B
—
GA
05
—
387469
—
SC
Enumeration date
10/13/2005
Last updated
08/25/2022
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