Johnson, John Kim

Johnson, John Kim is an individual health care provider with primary practice located at 200 Patewood Dr Suite B260, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, John Kim can be contacted via phone (864) 454-4600.

Contact Information

Primary practice address
200 Patewood Dr Suite B260 Greenville SC 29615-3593
Fax: (864) 464-4605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 12867 South Carolina

Profile Details

NPI number 1508861345
LBN Legal business name Johnson, John Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated May 9th, 2011 - about 13 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 1508861345 NPPES
South Carolina Other P00318488 RR MEDICARE
South Carolina Other P00801293 RR MEDICARE
South Carolina MEDICAID 128677 RR MEDICARE
South Carolina Other 576007863180 RR MEDICARE

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