Individual
MR. ROBERT A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Mailing address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
13100
MS
207RH0003X
Hematology & Oncology Physician
Primary
21289
TN
207RH0003X
Hematology & Oncology Physician
N8169
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015569
—
MS
05
—
119057001
—
AR
05
—
203153812
—
MO
05
—
3058486
—
TN
01
—
4064749
BCBS TN
TN
01
—
4197600
AETNA
—
01
—
96185
BCBS AR
AR
Enumeration date
07/07/2006
Last updated
07/10/2023
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