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

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

2403 Allison Rd
Beaufort, SC 29902-5923
Phone: (843) 524-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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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