# SPECIALTY MEDICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215056171
- **Authorized official:** DR. EDWARD D JOHNSON MD (DOCTOR)
- **Authorized official phone:** (423) 570-0097

## Contact information

- **Practice address:** 188 16TH AVE STE 104, DAYTON, TN 37321-1038
- **Practice address phone:** (423) 570-0097
- **Practice address fax:** (423) 570-0808
- **Mailing address:** 188 16TH AVE STE 104, DAYTON, TN 37321-1038
- **Mailing address phone:** (423) 570-0097
- **Mailing address fax:** (423) 570-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD13288 | TN | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020