Individual
DR. GLENN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Mailing address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3675744
MEDICARE PTAN
TN
Enumeration date
01/13/2007
Last updated
07/17/2013
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