Individual
DAVID BRYAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 OAKWOOD DR, CHATTANOOGA, TN 37416-2367
(423) 892-4289
Mailing address
3310 WEST END AVE 590, NASHVILLE, TN 37203-1260
(615) 913-5086
(888) 494-2588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000905121C
MEDICAID GA
GA
01
—
0102830
UNITED HEALTHCARE
GA
01
—
841074
BLUE CROSS BLUE SHIELD
GA
01
—
89064FN
MEDICAID NC
NC
01
—
P00048268
RAILROAD MEDICARE
GA
Enumeration date
12/29/2005
Last updated
10/08/2015
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