Organization
SURGEONCARE PHYSICIANS OF SOUTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R JOHNSON MD (OWNER)
(335) 553-3322
Entity
Organization
Contact information
Practice address
500 NELSON BLVD, KINGSTREE, SC 29556-4027
(843) 355-9088
(336) 852-6525
Mailing address
PO BOX 4207, MACON, GA 31208-4207
(843) 335-9088
(336) 852-6525
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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