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Individual

BRIAN S. JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2372 LEBANON PIKE, NASHVILLE, TN 37214
(615) 610-1756
Mailing address
2372 LEBANON PIKE, NASHVILLE, TN 37214-2411
(615) 610-1756

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1483
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200115300A
OK
Enumeration date
06/11/2007
Last updated
03/06/2019
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