Johnson, Donovan Whitney
Johnson, Donovan Whitney is an individual health care provider with primary practice located at 8004 Myrtle Trace Drive Suite 200, Conway SC 29526-8945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Johnson, Donovan Whitney can be contacted via phone (843) 347-8041.Contact Information
Primary practice address
8004 Myrtle Trace Drive Suite 200
Conway SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 86405 | South Carolina |
Profile Details
| NPI number | 1952781734 |
|---|---|
| LBN Legal business name | Johnson, Donovan Whitney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Nov 21st, 2025 - about last year |
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 | 1952781734 | NPPES |
| South Carolina | MEDICAID | 864050 |
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