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Idella Johnson, PA-C
NPI 1073554523 · on the registry since 2006
Practice
- Address
- 1610 Tazewell Rd
Suite 201
Tazewell, TN 37879 - Phone
- (423) 626-8393
- Fax
- (423) 626-8749
- Organisation at this address
- Carroll Rose, Md
Drs Rose & Thomas
Multispecialty Medical P.C.
Preferred Surgical Associates
Women'S Health Center & Primary CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee