Individual
DR. PAULA JOHNSON-WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1012 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 660-1100
Mailing address
222 SPRINGVIEW DR, JACKSON, TN 38305-6238
(731) 423-1724
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
ODT-2423
TN
Other
Enumeration date
05/05/2006
Last updated
02/25/2019
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