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1033590054
JACK JOHNSTON
MURRELLS INLET, SC
NPI
1033590054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: SC LL38420)
Enumeration Date
2015-06-16
Last Update Date
2024-10-30
Business Address
JACK JOHNSTON MD
4040 HIGHWAY 17
MURRELLS INLET, SC 29576-5098
Phone number: 864-561-1716
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Mailing Address
JACK JOHNSTON MD
4040 HIGHWAY 17
MURRELLS INLET, SC 29576-5098
Phone number: 864-561-1716
Copy
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