Johnson, Clanford Lyonel
Johnson, Clanford Lyonel is an individual health care provider with primary practice located at 1305 S Suber Rd , Greer SC 29650-0944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Clanford Lyonel can be contacted via phone (864) 989-4609.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200400688 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25112 | South Carolina |
Profile Details
| NPI number | 1750342879 |
|---|---|
| LBN Legal business name | Johnson, Clanford Lyonel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 29th, 2015 - about 10 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 | 1750342879 | NPPES |
| North Carolina | MEDICAID | 5904663 | |
| North Carolina | Other | P00329935 |
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