Michael Frederick Johnson P.A.-C

NPI 1679738272 - Physician Assistant - 363AM0700X

NPI Details
NPI 1679738272
Gender Male
Enumeration Date 07/23/2008
Last Updated 08/08/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1802 N JACKSON ST
TULLAHOMA TN, 37388-8218, US
Phone (931) 455-4529
Fax (931) 455-4633
Business Location
1802 NORTH JACKSON STREET
SUITE 8
TULLAHOMA TN, 37388, US
Phone (931) 455-4520
Fax (931) 455-4633
Toxanomy
Taxonomy Code 363AM0700X
License State Tennessee
License Number 1564
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According to our database, Mr. Michael Frederick Johnson P.A.-C NPI is 1679738272, taxonomy code is 363AM0700X and license number is 1564, license state is located at Tennessee. Michael Frederick Johnson P.A.-C physically located at 1802 N Jackson St, Tullahoma TN, 37388-8218. NPI Number Michael Frederick Johnson P.A.-C has the Individual type.

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1679738272 NPI number is provided on an as is basis without warranty of any kind. 1679738272 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Frederick Johnson P.A.-C are for informational purposes only.