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Individual

DONTAL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005
(615) 936-1000
Mailing address
944 21ST AVE N APT 1015, NASHVILLE, TN 37208-3448
(214) 684-0906

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55725
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2014
Last updated
02/01/2018
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