Individual
MISS CHARLOTTE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243377
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2015
Last updated
04/06/2021
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