Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Lillian Dolan Johnson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821402405

Mary Lillian Dolan Johnson, DO is a Student in an Organized Health Care Education/Training Program in Beaufort, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and South Carolina.

Licensed in
MI, SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Beaufort, SC

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 22201 Moross Rd, Detroit, MI 48236-2169 — (313) 343-3800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 37676 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101021066 (MI)

Record details

NPI number1821402405
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 11, 2014
Last updated in NPPESJuly 21, 2022

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