Ronald L. Johnson, M.d., Llc | |
4100 N Main St Suite 201 Columbia SC 29203-5800 | |
(803) 786-0980 | |
Not Available |
Full Name | Ronald L. Johnson, M.d., Llc |
---|---|
Speciality | Internal Medicine |
Location | 4100 N Main St, Columbia, South Carolina |
Authorized Official Name and Position | Ronald Johnson (OWNER) |
Authorized Official Contact | 8037860980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ronald L. Johnson, M.d., Llc 4100 N Main St Suite 201 Columbia SC 29203-5800 Ph: (803) 786-0980 | Ronald L. Johnson, M.d., Llc 4100 N Main St Suite 201 Columbia SC 29203-5800 Ph: (803) 786-0980 |
NPI Number | 1902203326 |
---|---|
Provider Enumeration Date | 12/01/2014 |
Last Update Date | 12/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902203326 | NPI | - | NPPES |
AT1078 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |