| Colton Tyler Johnson, MD | |
|
86 Wren St, Barnwell, SC 29812-1529 | |
| (803) 450-1397 | |
| (803) 259-3250 |
| Full Name | Colton Tyler Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 86 Wren St, Barnwell, 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 |
|---|---|---|---|
| 1982263323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11020581A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 88582 (South Carolina) | Primary |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780112912 PECOS PAC ID: 4284530940 Enrollment ID: O20190610001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Tyler Johnson, MD 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 450-1397 | Colton Tyler Johnson, MD 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 450-1397 |
Dr. Verston Kirk Service, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Wren St, Barnwell, SC 29812 Phone: 803-541-4702 | |
Jennifer Denise Rahn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 | |
Dr. Mari Suarez Bridges, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 |