Individual
DR. JAMES ROBERT JOHNSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
65073
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
85778
SC
207QS1201X
Sleep Medicine (Family Medicine) Physician
85778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q041970
—
TN
Enumeration date
05/01/2018
Last updated
01/16/2024
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