Organization
THE DEREK JOHNSON, M.D. CONCUSSION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ROMERO (PRACTICE MANAGER)
(629) 220-0220
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD STE 250, SMYRNA, TN 37167-6832
(629) 220-0211
Mailing address
300 STONECREST BLVD STE 250, SMYRNA, TN 37167-6832
(629) 220-0211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/30/2023
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