Individual
JAMES W JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5180 PARK AVE, SUITE 250, MEMPHIS, TN 38119
(901) 753-3766
(901) 759-1184
Mailing address
PO BOX 772193, MEMPHIS, TN 38177
(901) 761-9901
(901) 761-9675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17134
MS
208D00000X
General Practice Physician
Primary
MD0000011485
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17134
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD0000011485
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000145000
BETTER HEALTH PLAN
—
01
—
00000027474
TLC
—
05
—
00124492
—
MS
05
—
09015804
—
MS
01
—
2621395
CIGNA
—
05
—
3888243
—
TN
01
—
4073290
BCBS OF TENNNESSEE
—
01
—
P00180320
RR MEDICARE
—
Enumeration date
07/17/2006
Last updated
01/29/2015
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