| Dr Terry D Johnson, MD | |
|
2550 Elms Center Rd, North Charleston, SC 29406-9844 | |
| (843) 302-8840 | |
| (843) 818-2188 |
| Full Name | Dr Terry D Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2550 Elms Center Rd, North Charleston, 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 |
|---|---|---|---|
| 1730167651 | NPI | - | NPPES |
| P00829107 | Other | SC | RAILROAD MEDICARE ID |
| 073538 | Medicaid | SC | |
| 080075168 | Other | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7353 (South Carolina) | Primary |
| Entity Name | Consultorio Medico Latino |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790319408 PECOS PAC ID: 7911338587 Enrollment ID: O20200514001920 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry D Johnson, MD 201 Sigma Dr, Ste 100, Summerville, SC 29486-7715 Ph: (843) 793-5970 | Dr Terry D Johnson, MD 2550 Elms Center Rd, North Charleston, SC 29406-9844 Ph: (843) 302-8840 |
Christopher James Raispis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 Phone: 843-747-3193 Fax: 843-747-3194 | |
Dr. Scott Steven Lloyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8992 University Blvd Ste 300, North Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111 | |
George L Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8740 Rivers Ave, North Charleston, SC 29406 Phone: 843-572-5990 Fax: 843-572-2928 | |
Dr. Elizabeth Ashley Grzybowicz, DNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5508 Crescent View Dr, North Charleston, SC 29420 Phone: 843-200-5475 | |
Martha Buchanan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3685 Rivers Ave, North Charleston, SC 29405 Phone: 865-215-5313 Fax: 865-215-5099 | |
Dr. Adrian Lee Strand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8992 University Blvd, Ste 300, North Charleston, SC 29406 Phone: 843-876-5555 Fax: 831-728-8266 | |
Karey L Breen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 Rivers Ave, North Charleston, SC 29406 Phone: 843-225-2374 Fax: 843-459-1923 |