Individual
MR. JOHNNY CAMERON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSIST-CERT
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
99-222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24
SURGICAL FIRST ASSISTANT
TN
Enumeration date
06/28/2013
Last updated
06/28/2013
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