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THOMAS WESLEY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3991 DUTCHMANS LN, STE 310, LOUISVILLE, KY 40207-4700
(502) 899-6782
(502) 899-6783
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5573
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38102
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000672012
ANTHEM- NORTON NEUROLOGY SERVICES
KY
01
000052153Y
HUMANA- NORTON NEUROLOGY SERVICES
KY
05
200378110
IN
01
50029990
PASSPORT- NORTON NEUROLOGY SERVICES
KY
05
64069156
KY
01
P00889604
RAILROAD MEDICARE
KY
Enumeration date
02/21/2006
Last updated
08/30/2024
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