Organization
PROLOTHERAPY NASHVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LANIER JOHNSON MD (OWNER)
(615) 506-0536
Entity
Organization
Contact information
Practice address
278 FRANKLIN ROAD, SUITE 150, BRENTWOOD, TN 37027
(615) 506-0536
(615) 507-1646
Mailing address
278 FRANKLIN ROAD, SUITE 150, BRENTWOOD, TN 37027
(615) 506-0536
(615) 507-1646
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MD 20344
TN
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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