Individual
DR. NATHAN DALE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
(601) 973-1571
(601) 973-1577
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35973
MS
207X00000X
Orthopaedic Surgery Physician
66084
MN
207X00000X
Orthopaedic Surgery Physician
71635
WI
Other
Enumeration date
07/15/2013
Last updated
11/10/2025
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