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Individual

DR. WARREN S JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
428 PERKINS EXT, MEMPHIS, TN 38117
(901) 763-2020
(901) 763-2219
Mailing address
428 PERKINS EXT, MEMPHIS, TN 38117-3802
(901) 763-2020
(901) 763-2219

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT968
TN
152WC0802X
Corneal and Contact Management Optometrist
ODT968
TN

Other

Enumeration date
02/02/2006
Last updated
08/01/2018
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