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1942825500
JARVIS JAMAL JOHNSON
COLUMBIA, SC
NPI
1942825500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 84170)
Enumeration Date
2020-06-10
Last Update Date
2024-01-16
Business Address
JARVIS JAMAL JOHNSON MD
229 LONGTOWN RD
COLUMBIA, SC 29229-8550
Phone number: 803-419-4949
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Mailing Address
JARVIS JAMAL JOHNSON MD
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203
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