Individual
ERIC A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125068144
IL
207L00000X
Anesthesiology Physician
Primary
62778
TN
207R00000X
Internal Medicine Physician
125068144
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
05/05/2021
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