Individual
DR. ROBERT DUREN JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
672 HIGHWAY 9 W, BENNETTSVILLE, SC 29512-2130
(843) 479-2402
(843) 479-6609
Mailing address
2643 GREAT FALLS HWY, LANCASTER, SC 29720-7168
(803) 286-1586
(803) 313-3283
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8389
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120X
NC BCBS GROUP NUMBER
NC
05
—
083894
—
SC
01
—
30048
NC STATE LICENSE NUMBER
NC
01
—
4469
MEDICARE GROUP NUMBER
SC
01
—
8389
SC MEDICAL LICENSE NUMBER
SC
01
—
GP0789
SC MEDICAID GROUP NUMBER
SC
Enumeration date
03/01/2006
Last updated
03/07/2023
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