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Individual

AMY E JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 660-8369
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 422-0213
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
DR.0049323
CO
208000000X
Pediatrics Physician
49323
CO
208000000X
Pediatrics Physician
INPROCESS
TN
208000000X
Pediatrics Physician
Primary
MD63332
TN

Other

Enumeration date
04/19/2006
Last updated
06/21/2021
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