Johnson, Gregory Allen

Johnson, Gregory Allen is an individual health care provider with primary practice located at 1115 Wren School Rd , Piedmont SC 29673-8033. He 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 his primary health care specialty. Johnson, Gregory Allen can be contacted via phone (864) 859-0740.

Contact Information

Primary practice address
1115 Wren School Rd Piedmont SC 29673-8033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27071 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27071 South Carolina

Profile Details

NPI number 1205936556
LBN Legal business name Johnson, Gregory Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 23rd, 2024 - about 2 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 1205936556 NPPES
South Carolina Other P01012806 RAILROAD MEDICARE
South Carolina MEDICAID 270717 RAILROAD MEDICARE

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