Individual
ERIC GORDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S HERLONG AVE, SUITE B, ROCK HILL, SC 29732-3399
(803) 325-1770
(803) 325-1790
Mailing address
200 S HERLONG AVE, SUITE B, ROCK HILL, SC 29732-3399
(803) 325-1770
(803) 325-1790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9691
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096915
—
SC
05
—
890631K
—
NC
Enumeration date
04/27/2006
Last updated
09/26/2012
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