Individual
DOMINIC ADRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
877 W FARIS RD STE B, GREENVILLE, SC 29605-4296
(864) 455-6993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37108
SC
207RC0000X
Cardiovascular Disease Physician
37108
SC
207RI0011X
Interventional Cardiology Physician
Primary
37108
SC
207RI0011X
Interventional Cardiology Physician
MD37108
SC
Other
Enumeration date
06/11/2010
Last updated
05/17/2023
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