Organization
SPECIALTY MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D JOHNSON MD (DOCTOR)
(423) 570-0097
Entity
Organization
Contact information
Practice address
188 16TH AVE STE 104, DAYTON, TN 37321-1038
(423) 570-0097
(423) 570-0808
Mailing address
188 16TH AVE STE 104, DAYTON, TN 37321-1038
(423) 570-0097
(423) 570-0808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13288
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376010
—
TN
01
—
4053237
BC BS
TN
Enumeration date
03/29/2007
Last updated
08/22/2020
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