Organization
CLARKSVILLE OB GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E JOHNSTON MD (TREASURER OF CORPORATION)
(931) 552-6070
Entity
Organization
Contact information
Practice address
1824 MEMORIAL DRIVE, CLARKSVILLE, TN 37043
(931) 552-6070
(931) 552-9896
Mailing address
1824 MEMORIAL DRIVE, CLARKSVILLE, TN 37043
(931) 552-6070
(931) 552-9896
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
06/07/2010
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