| Alex Walker Johnson, DO | |
|
1664 Ribaut Rd, Port Royal, SC 29935-1708 | |
| (843) 522-8466 | |
| Not Available |
| Full Name | Alex Walker Johnson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1664 Ribaut Rd, Port Royal, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245806736 | NPI | - | NPPES |
| 93824 | Other | SC | SC MEDICAL LICENSE |
| 12871 | Other | GA | GEORGIA RESIDENCY TRAINING PERMIT |
| 938240 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12871 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 12871 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 93824 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Walker Johnson, DO 125 Furrow Ln, Ladys Island, SC 29907-1272 Ph: (606) 316-2562 | Alex Walker Johnson, DO 1664 Ribaut Rd, Port Royal, SC 29935-1708 Ph: (843) 522-8466 |
Dr. Demetrajane Kokinakis, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1664 Ribaut Rd, Port Royal, SC 29935 Phone: 843-522-8466 Fax: 843-521-4538 |