Individual
DR. KYLE E JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 661-6215
(336) 716-6415
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36791
SC
Other
Enumeration date
06/06/2009
Last updated
12/21/2016
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