Individual
JACK F JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 SUMMERS AVE, ORANGEBURG, SC 29115-4922
(803) 534-0266
Mailing address
PO BOX 1226, ORANGEBURG, SC 29116-1226
(803) 534-0266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061113
—
SC
Enumeration date
08/21/2006
Last updated
10/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us