Individual
GINA A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7550 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1778
(901) 542-6801
Mailing address
PO BOX 1483, INDIANAPOLIS, IN 46206-1483
(662) 470-1110
(317) 705-5060
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149765001
—
AR
05
—
3880737
—
TN
Enumeration date
02/15/2006
Last updated
02/22/2019
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