Individual
MIKALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5316
(865) 273-8300
Mailing address
1504 CHARIOT LN, KNOXVILLE, TN 37918-6767
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5395
TN
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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