| Dr Robert Duren Johnson Jr, MD | |
|
672 Highway 9 W, Bennettsville, SC 29512-2130 | |
| (843) 479-2402 | |
| (843) 479-6609 |
| Full Name | Dr Robert Duren Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 672 Highway 9 W, Bennettsville, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831166628 | NPI | - | NPPES |
| 083894 | Medicaid | SC | |
| 4469 | Other | SC | MEDICARE GROUP NUMBER |
| 30048 | Other | NC | NC STATE LICENSE NUMBER |
| 0120X | Other | NC | NC BCBS GROUP NUMBER |
| 8389 | Other | SC | SC MEDICAL LICENSE NUMBER |
| GP0789 | Other | SC | SC MEDICAID GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 8389 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Duren Johnson Jr, MD 2643 Great Falls Hwy, Lancaster, SC 29720-7168 Ph: (803) 286-1586 | Dr Robert Duren Johnson Jr, MD 672 Highway 9 W, Bennettsville, SC 29512-2130 Ph: (843) 479-2402 |
Jerry P Huey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 672 Hwy 9 West, Bennettsville, SC 29512 Phone: 843-479-0641 Fax: 843-479-6609 |