Individual
KEVIN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-9022
(864) 455-9016
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-9022
(864) 455-9016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01442
NC
207Q00000X
Family Medicine Physician
33747
SC
208M00000X
Hospitalist Physician
2014-01442
NC
Other
Enumeration date
06/13/2011
Last updated
10/28/2023
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