Individual
DR. SCOTT R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 660-8377
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 256-7634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD46687
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
MD46687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521652
—
TN
Enumeration date
05/20/2006
Last updated
12/15/2025
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