Individual
AMY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1480 FLORENCE RD, SAVANNAH, TN 38372-5205
(731) 925-5346
Mailing address
745 BLUE HERON PT, COUNCE, TN 38326-4320
(731) 607-4140
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3693
TN
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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