Individual
DANIEL ROMAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6285
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL86076
SC
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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