| Dr Jay Thomas Johnson, DO | |
|
606 Black River Rd, Georgetown, SC 29440-3368 | |
| (843) 527-7000 | |
| (843) 520-8403 |
| Full Name | Dr Jay Thomas Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 606 Black River Rd, Georgetown, 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 |
|---|---|---|---|
| 1265626006 | NPI | - | NPPES |
| 218445901 | Medicaid | TX | |
| 218445902 | Medicaid | TX | |
| P00896831 | Other | TX | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | N6894 (Texas) | Primary |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Thomas Johnson, DO Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Dr Jay Thomas Johnson, DO 606 Black River Rd, Georgetown, SC 29440-3368 Ph: (843) 527-7000 |
Dr. Christopher H Register, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Joseph Michael Ratliffe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Peter J Zavell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Lamberto Paragas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
Susangeline Schmidt Strickland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 | |
William D Richmond, M..D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 |