Individual
RANDI MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-3600
Mailing address
158 ELAINE DR, TAZEWELL, TN 37879-6229
(951) 490-3482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
10/08/2025
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