Individual
MR. BILLY ZACHARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
597 W FOREST AVE, JACKSON, TN 38301-3935
(731) 300-4800
(731) 300-4863
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1992
TN
Other
Enumeration date
07/12/2011
Last updated
03/15/2018
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