Dr KYLE HARRIS JOHNSON PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004 from Medical University Of South Carolina College Of Medicine.
MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA
1013 LAKE MURRAY BLVD
IRMO
SC
290632824
Tel: 8032564107
| Npi | 1932100039 |
| Pac Id | 3971543133 |
| Professional Enrollment Id | I20050506000158 |
| Last Name | JOHNSON |
| First Name | KYLE |
| Middle Name | HARRIS |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA |
| Group Practice Pac Id | 8628963287 |
| Number Of Group Practice Members | 38 |
| Line 1 Street Address | 1013 LAKE MURRAY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IRMO |
| State | SC |
| Zip Code | 290632824 |
| Phone Number | 8032564107 |
| Hospital Affiliation Ccn 1 | 420026 |
| Hospital Affiliation Lbn 1 | PROVIDENCE HEALTH |
| Hospital Affiliation Ccn 2 | 420106 |
| Hospital Affiliation Lbn 2 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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