Organization
CJ MEDICAL LLC CANDACE JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE JOHNSON NP (OWNER)
(865) 755-4286
Entity
Organization
Contact information
Practice address
12095 STEEKEE SCHOOL RD, LOUDON, TN 37774-4565
(865) 458-3290
Mailing address
12095 STEEKEE SCHOOL RD, LOUDON, TN 37774-4565
(865) 458-3290
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16163
TN
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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