Individual
MISS ELITHA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 920-7384
Mailing address
812 GREENWOOD AVENUE, CLARKSVILLE, TN 37040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B000000X
TN
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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