Individual
WILLIAM R JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1819 W CLINCH AVE, SUITE 114, KNOXVILLE, TN 37916-2434
(865) 524-1631
(865) 541-1727
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18815
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080064816
RR MEDICARE PIN
TN
05
—
3033627
—
TN
Enumeration date
06/15/2006
Last updated
04/13/2020
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