JAKE CARSON JOHNSON

GREENVILLE, SC
NPI1043254618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: SC  12795)
Enumeration Date2006-06-15
Last Update Date2018-01-31
Business Address
JAKE CARSON JOHNSON MD
67 CREEKSIDE PARK CT
GREENVILLE, SC 29615-4810
Phone number: 864-242-4602
Mailing Address
JAKE CARSON JOHNSON MD
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6015