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
Phone: (803) 786-0980
Fax: (803) 786-6452
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467487686 | NPPES |
South Carolina | MEDICAID | AT1078 |
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