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Individual

DR. CHERYL DIANE JOHNSON

Active
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Individual

DR. CHERYL DIANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME117062
FL
208000000X
Pediatrics Physician
ME117062
FL
208M00000X
Hospitalist Physician
Primary
ME117062
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102037500
—
FL
05
—
3000235
—
TN
05
—
3283015
—
TN
01
—
4160665
BCBS
TN
Enumeration date
06/22/2005
Last updated
08/22/2024
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