Individual
AMANDA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1112 S MAIN ST, FRANKLIN, KY 42134-2371
(270) 482-0101
(270) 850-3120
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 850-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1901
KY
Other
Enumeration date
02/09/2009
Last updated
11/30/2017
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