Individual
JOHN MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
224 PEMBROKE DRIVE, HILTON HEAD ISLAND, SC 29926
(843) 689-3937
(843) 689-5550
Mailing address
PO BOX 22899, HILTON HEAD ISLAND, SC 29925
(843) 689-3937
(843) 689-5550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1382
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13821
—
SC
Enumeration date
10/30/2006
Last updated
07/29/2011
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