Individual
SUSANNAH E JOHNSON
Active
Individual
SUSANNAH E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01038
NC
207R00000X
Internal Medicine Physician
50503
TN
208M00000X
Hospitalist Physician
50503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6002116
BLUECROSS BLUESHIELD
TN
01
—
6010882
BLUE CROSS-BLUE SHIELD
TN
05
—
7100265170
—
KY
05
—
Q001805
—
TN
Enumeration date
03/30/2010
Last updated
07/13/2021
Update your record
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