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1043254618
JAKE CARSON JOHNSON
GREENVILLE, SC
NPI
1043254618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: SC 12795)
Enumeration Date
2006-06-15
Last Update Date
2018-01-31
Business Address
JAKE CARSON JOHNSON MD
67 CREEKSIDE PARK CT
GREENVILLE, SC 29615-4810
Phone number: 864-242-4602
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Mailing Address
JAKE CARSON JOHNSON MD
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6015
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