Johnson, Ronald Lee

Johnson, Ronald Lee is an sole proprietor health care provider with primary practice located at 4100 Main St Suite 201, Columbia SC 29203-5800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Ronald Lee can be contacted via phone (803) 786-0980.

Contact Information

Primary practice address
4100 Main St Suite 201 Columbia SC 29203-5800
Fax: (803) 786-6452
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10556 South Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 10556 South Carolina

Profile Details

NPI number 1467487686
LBN Legal business name Johnson, Ronald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Oct 1st, 2013 - about 12 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 1467487686 NPPES
South Carolina MEDICAID AT1078

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