Bruce G Johnson, MD
Anesthesiology, Pain Medicine in Florence, SC. Individual provider (NPI-1).
NPI number1447453097
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1447453097
- Entity type
- Individual (NPI-1)
- Name
- Bruce G Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2007
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 31188 | SC | Yes |
| 207L00000X | Anesthesiology | 31188 | SC |
Practice location
800 E Cheves St Ste 480bFlorence, SC 29506-2650
Phone 843-432-1880 · Fax 843-432-1022
Mailing address
800 E Cheves St Ste 480bFlorence, SC 29506-2650
Phone 843-432-1880 · Fax 843-432-1022
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