Johnson, Graeme Henry

Johnson, Graeme Henry is an individual health care provider with primary practice located at 8301 Farrow Rd , Columbia SC 29203-3245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Johnson, Graeme Henry can be contacted via phone (803) 935-5604.

Contact Information

Primary practice address
8301 Farrow Rd Columbia SC 29203-3245
Phone: (803) 935-5604
Fax: (803) 935-5380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 13379 South Carolina

Profile Details

NPI number 1336175603
LBN Legal business name Johnson, Graeme Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 12th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336175603 NPPES
South Carolina MEDICAID 133796

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