# LAYTON FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1538220306
- **Authorized official:** WILLIAM TEDRICK JOHNSON (GROUP VP/AO)
- **Authorized official phone:** (615) 372-3375

## Contact information

- **Practice address:** 2950 N CHURCH ST STE 200, LAYTON, UT 84040-6590
- **Practice address phone:** (801) 771-7700
- **Practice address fax:** (801) 771-7799
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
- **Mailing address phone:** (615) 373-7600
- **Mailing address fax:** (866) 346-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 10/30/2020