Individual
MR. JOHNNY WAYNE PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
100 S DUNCAN ST, JAMESTOWN, TN 38556-3009
(931) 879-5864
(931) 879-3903
Mailing address
PO BOX 2861, CROSSVILLE, TN 38557-2861
(931) 879-5864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA130
TN
Other
Enumeration date
08/11/2006
Last updated
09/13/2022
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