Individual
CAJ JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 584-2146
(865) 374-2103
Mailing address
1300 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 584-2146
(865) 374-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S9320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q076584
—
TN
Enumeration date
04/01/2019
Last updated
08/23/2022
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