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Individual
DR. NATALIE INGE JOHNSON
Active
Individual
DR. NATALIE INGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD36510
TN
207R00000X
Internal Medicine Physician
Primary
Q1633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4091459
BLUE CROSS PROVIDER #
TN
Enumeration date
08/08/2006
Last updated
01/22/2015
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