Individual
CARL ALLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 BLOSSOM ST, COLUMBIA, SC 29205-2308
(805) 740-1317
Mailing address
2610 BLOSSOM ST, COLUMBIA, SC 29205-2308
(805) 740-1317
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11965
SC
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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