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Organization
JOHNSON FAMILY MEDICINE LLC
Active
Organization
JOHNSON FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SUZANNE MYRICK (PRACTICE MANAGER)
(931) 484-2220
Entity
Organization
Contact information
Practice address
137 OBRIEN DR STE 101, CROSSVILLE, TN 38555-8751
(931) 484-2220
(931) 484-2220
Mailing address
137 OBRIEN DR STE 101, CROSSVILLE, TN 38555-8751
(931) 484-2220
(931) 484-2225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30511
TN
363LF0000X
Family Nurse Practitioner
14809
TN
Other
Enumeration date
09/14/2015
Last updated
06/05/2026
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