Individual
JARVIS JAMAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 LONGTOWN RD, COLUMBIA, SC 29229-8550
(803) 419-4949
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84170
SC
Other
Enumeration date
06/10/2020
Last updated
01/16/2024
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