Organization
PEE DEE EMERGENCY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD KENNETH JOHNSON MD (PRESIDENT, OWNER)
(803) 435-8710
Entity
Organization
Contact information
Practice address
410 NEW ST, MANNING, SC 29102-3311
(803) 435-8710
Mailing address
410 NEW ST, MANNING, SC 29102-3311
(803) 435-8710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZIP CODE
ZIP CODE
SC
Enumeration date
09/26/2006
Last updated
08/22/2020
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