Individual
MS. TAMARA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5728 STAGE RD STE 6, BARTLETT, TN 38134-4568
(901) 691-5886
Mailing address
5728 STAGE RD STE 6, BARTLETT, TN 38134-4568
(901) 691-5886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000149432
TN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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