Organization
RONALD L. JOHNSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOHNSON SR. M.D. (OWNER)
(803) 786-0980
Entity
Organization
Contact information
Practice address
4100 N MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
Mailing address
4100 N MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AT1078
—
SC
Enumeration date
12/01/2014
Last updated
12/01/2014
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