Organization
SOUTHEAST TENNESSEE ORTHOPAEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL V. JOHNSON M.D. (PARTNER)
(423) 472-1567
Entity
Organization
Contact information
Practice address
102 DUNHILL PL NW, CLEVELAND, TN 37311-3883
(423) 472-1567
Mailing address
102 DUNHILL PLACE NW, CLEVELAND, TN 37311-3883
(423) 472-1567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD15518
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083658496
NPI STONE
—
01
—
1427094747
NPI JOHNSON
—
Enumeration date
08/01/2006
Last updated
12/27/2010
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