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Search › Tennessee › 363A00000X

Michael Johnson, PA

NPI 1699787721 · on the registry since 2006

Practice

Address
410 N State Of Franklin Rd
Suite 120
Johnson City, TN 37604
Phone
(423) 975-2350
Fax
(423) 975-2372
Organisation at this address
Shriners Hospitals For Children
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
207P00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-10

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