Individual
DR. RONALD JACKSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7910 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1725
(901) 737-1050
(901) 737-1107
Mailing address
7910 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1725
(901) 737-1050
(901) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10489
TN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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