Individual
DR. THOMAS WILLIAM JOHNSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42922
KY
208D00000X
General Practice Physician
42922
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2008
Last updated
09/02/2021
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