Individual
GERALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6142 SHALLOWFORD RD STE 103, CHATTANOOGA, TN 37421-7216
(423) 498-3300
(423) 498-3301
Mailing address
6142 SHALLOWFORD RD STE 103, CHATTANOOGA, TN 37421-7216
(423) 498-3300
(423) 498-3301
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
32248
TN
2080P0202X
Pediatric Cardiology Physician
MD0000032248
TN
2080P0202X
Pediatric Cardiology Physician
MD422722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008205830001
—
PA
Enumeration date
05/27/2006
Last updated
01/03/2025
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