Individual
DR. ERNEST KAYE JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 WINDOVER DR, NASHVILLE, TN 37218-2410
(615) 276-4825
Mailing address
1705 WINDOVER DR, NASHVILLE, TN 37218-2410
(615) 276-4825
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10912
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10912
STATE LICENSE NUMBER
TN
Enumeration date
02/01/2007
Last updated
07/26/2011
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