Individual
JARVIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 642-3961
Mailing address
PO BOX 217, ALTAMONT, TN 37301-0217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
28741
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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