Johnson, Carrie
Johnson, Carrie is an individual health care provider with primary practice located at 500 Squires Pt Ste A , Duncan SC 29334-8867. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Carrie can be contacted via phone (864) 968-5126.Contact Information
Primary practice address
500 Squires Pt Ste A
Duncan SC 29334-8867
Phone: (864) 968-5126
Fax: (864) 968-5128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 82360 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 82360 | South Carolina |
Profile Details
| NPI number | 1124401237 |
|---|---|
| LBN Legal business name | Johnson, Carrie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2015 |
| Last updated | Jun 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124401237 | NPPES |
| South Carolina | MEDICAID | 823602 |
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