Individual
LEE EVANS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 HIGHWAY 46 S, DICKSON, TN 37055-2565
(615) 446-3760
(615) 441-5829
Mailing address
560 ROSS BRANCH RD, ERIN, TN 37061-6710
(931) 709-3236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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