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Individual

WILLIAM FRANK JOHNSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2253 CHAMBLISS AVE NW, SUITE 100, CLEVELAND, TN 37311-3861
(423) 472-5423
(423) 476-5523
Mailing address
2253 CHAMBLISS AVE NW, SUITE 100, CLEVELAND, TN 37311-3861
(423) 472-5423
(423) 476-5523

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD006513
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2001355
BCBST
TN
05
3159889
TN
Enumeration date
06/09/2006
Last updated
07/08/2007
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