Zachary David Johnson ATC

NPI 1053709659 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1053709659
Gender Male
Enumeration Date 01/05/2015
Last Updated 01/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
210 LINDSEY WILSON ST
COLUMBIA KY, 42728-1223, US
Phone (270) 384-8064
Fax
Business Location
210 LINDSEY WILSON ST
COLUMBIA KY, 42728-1223, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Kentucky
License Number AT1203
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According to our database, Zachary David Johnson ATC NPI is 1053709659, taxonomy code is 2255A2300X and license number is AT1203, license state is located at Kentucky. Zachary David Johnson ATC physically located at 210 Lindsey Wilson St, Columbia KY, 42728-1223. NPI Number Zachary David Johnson ATC has the Individual type.

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1053709659 NPI number is provided on an as is basis without warranty of any kind. 1053709659 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary David Johnson ATC are for informational purposes only.