Organization
THE CLEVELAND CLINIC OF TN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVIN JOHNSON MD (PHYSICIAN OWNER)
(423) 472-1991
Entity
Organization
Contact information
Practice address
55 BEN DR NW, CLEVELAND, TN 37311-3897
(423) 472-1991
(423) 339-2321
Mailing address
PO BOX 11052, CHATTANOOGA, TN 37401-2052
(423) 472-1991
(423) 339-2321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
03/25/2009
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