Tamara Deniece Johnson, MD is a
Pediatrics physician based in Inman, South Carolina. Tamara Deniece Johnson is licensed to practice in South Carolina (license number 32609) and her current practice location is 1220 Parkside Acorn Drive, Inman, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 272-0388.
NPI number for Tamara Deniece Johnson is 1760701288 and her current mailing address is 525 Verdae Blvd Ste 200, Greenville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760701288.
Physician's Profile
Full Name | Tamara Deniece Johnson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1220 Parkside Acorn Drive, Inman, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760701288
- Provider Enumeration Date: 05/24/2010
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Tamara Deniece Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760701288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 32609 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamara Deniece Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tamara Deniece Johnson, MD 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 Ph: () - | Tamara Deniece Johnson, MD 1220 Parkside Acorn Drive, Inman, SC 29349 Ph: (864) 272-0388 |
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