Individual
DAVID M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4237 RIVER HILLS DR, STE 130, LITTLE RIVER, SC 29566-6444
(843) 234-8675
(843) 234-8681
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200000236
NC
207R00000X
Internal Medicine Physician
Primary
35605
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N00236
—
SC
Enumeration date
07/20/2006
Last updated
10/25/2024
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