Individual
TAMMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 N MAIN AVE, ERWIN, TN 37650-1234
(423) 743-1470
(423) 743-1472
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
64580
TN
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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