JACK F JOHNSON

ORANGEBURG, SC
NPI1902912322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: SC  6111)
Enumeration Date2006-08-21
Last Update Date2007-10-09
Business Address
-- JACK F JOHNSON MD
1190 SUMMERS AVE
ORANGEBURG, SC 29115-4922
Phone number: 803-534-0266
Mailing Address
-- JACK F JOHNSON MD
PO BOX 1226
ORANGEBURG, SC 29116-1226
Phone number: 803-534-0266
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