Individual
MR. GARY CLIFFORD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED; PA-C
Contact information
Practice address
VA TENNESSEE VALLEY HCS ALVIN C YORK CAMPUS, 3400 LEBANON PIKE, MURFREESBORO, TN 37129-1236
(615) 893-1360
(615) 867-5791
Mailing address
VA TENNESSEE VALLEY HCS ALVIN C YORK CAMPUS, 3400 LEBANON PIKE, MURFREESBORO, TN 37129-1236
(615) 893-1360
(615) 867-5791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-003
TN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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