Individual
DR. DARRELL JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
110 SKYLINE DRIVE, MAYNARDVILLE, TN 37807
(865) 992-7000
(865) 992-7001
Mailing address
PO BOX 1029, MAYNARDVILLE, TN 37807-1029
(865) 992-7000
(865) 992-7001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1881
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3972760
—
TN
01
—
4043494
BLUE SHIELD ID
TN
01
—
5412749
CIGNA ID
TN
01
—
648483
UNITED ID
TN
Enumeration date
12/11/2006
Last updated
07/09/2007
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