Individual
DR. COURTNEY BONNER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
984 SCHILLING ROW AVE, COLLIERVILLE, TN 38017-1264
(901) 402-0239
(619) 826-4106
Mailing address
875 W POPLAR AVE STE 23-#169, COLLIERVILLE, TN 38017-2598
(901) 402-0239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0000058990
TN
2084P0800X
Psychiatry Physician
2008015976
MO
2084P0800X
Psychiatry Physician
2010015938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184880783
—
MO
Enumeration date
08/03/2008
Last updated
01/18/2024
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