Individual
ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
115 CUMBERLAND PLZ, CROSSVILLE, TN 38555-4292
(931) 787-1244
(931) 787-1245
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-8930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2511
TN
Other
Enumeration date
06/07/2019
Last updated
08/17/2021
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