Individual
DR. BRUCE W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6401 MOUNTAIN VIEW ROAD, SUITE 109, OOLTEWAH, TN 37363-6685
(423) 495-5951
(423) 495-5999
Mailing address
6401 MOUNTAIN VIEW ROAD, SUITE 109, OOLTEWAH, TN 37363-6685
(423) 495-5951
(423) 495-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28377
TN
Other
Enumeration date
12/30/2005
Last updated
06/02/2010
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