Individual
CAMERON DEWAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 GUNBARREL RD, CHATTANOOGA, TN 37421-7137
(423) 680-8534
Mailing address
3404 COACH DR, HIXSON, TN 37343-3372
(423) 290-3980
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
205373
TN
363L00000X
Nurse Practitioner
Primary
31966
TN
Other
Enumeration date
05/24/2022
Last updated
07/26/2024
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