Organization
CHATTANOOGA PRIMARY CARE OF HYPERTENSION & DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVIN J JOHNSON MD (OWNER)
(423) 309-6437
Entity
Organization
Contact information
Practice address
5600 BRAINERD RD, STE FC-5, CHATTANOOGA, TN 37411-5310
(423) 355-5471
(423) 355-5472
Mailing address
5600 BRAINERD RD, STE FC-5, CHATTANOOGA, TN 37411-5310
(423) 355-5471
(423) 355-5472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21478
TN
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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