SearchTennessee163W00000X

Vic Johnson

NPI 1700310521 · on the registry since 2017 · sole proprietor

Practice

Address
145 Cherry St
Mt Carmel, TN 37645
Phone
(423) 921-4424

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-18

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