MARY LILLIAN DOLAN JOHNSON DO - NPI 1821402405

Q: What is Mary Dolan Johnson's NPI number?

The NPI number for Mary Dolan Johnson is 1821402405. It was assigned to this individual provider in the NPPES registry on June 11, 2014. The provider is also known as Mary Lillian Dolan Do.

Q: What is Mary Dolan Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Mary Lillian Dolan Johnson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LILLIAN DOLAN JOHNSON DO (NPI 1821402405) is an individual pediatrics provider in Beaufort, South Carolina, licensed in South Carolina (37676) and active in the NPI registry since June 2014. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1821402405

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY LILLIAN DOLAN JOHNSONCredential: DO

Location Address2403 ALLISON RDBeaufort, SC 29902-5923

Mailing Address2403 Allison RdBeaufort, SC 29902-5923 · (843) 524-1078

Phone(843) 524-1078

Sole ProprietorYes

Enumeration DateJune 11, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1821402405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 37676

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101021066 (MI)

2403 ALLISON RD, Beaufort, SC 29902

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Other Names 1

Professional Name (2)Mary Lillian Dolan Do

Secondary Practice Location 1

Location 122201 Moross Rd, PB2 Suite 70Detroit, MI 48236-2169 · Phone (313) 343-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN L KEANE D.O.

Pediatrics