Organization
JOHNSON CLINIC OF COVINGTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL T. JOHNSON SR. M.D. (MEDICAL DIRECTOR)
(901) 475-4752
Entity
Organization
Contact information
Practice address
4235 HIGHWAY 51 S, BRIGHTON, TN 38011-6921
(901) 475-4752
(901) 475-1554
Mailing address
PO BOX 507, COVINGTON, TN 38019-0507
(901) 475-4752
(901) 475-1554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11374
TN
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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