Individual
RICHARD S. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-7222
(901) 545-8292
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2101
(614) 293-9155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34014608
OH
2086S0102X
Surgical Critical Care Physician
Primary
34014608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409720
—
OH
Enumeration date
05/13/2014
Last updated
10/06/2023
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