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Individual

ANNALYSA M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
270 BMH PHYSICIANS OFFICE BUILDING, MARYVILLE, TN 37804-3780
(865) 546-1642
(833) 396-2528
Mailing address
270 BMH PHYSICIAN OFFICE BUILDING, MARYVILLE, TN 37804-1532
(865) 546-1642
(865) 681-7949

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2972
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6167306
BCBS
TN
05
Q024129
TN
Enumeration date
07/07/2012
Last updated
04/15/2024
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