Individual
DONNA D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
18419
SC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
18419
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184197
—
SC
01
—
3922
MEDICARE GROUP
SC
01
—
USC001
MEDICAID GROUP
SC
Enumeration date
08/21/2006
Last updated
03/22/2022
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