Individual
ANDRIA J HUMPHREY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7640 HIGHWAY 70 S, SUITE 110, NASHVILLE, TN 37221
(629) 255-2053
(629) 255-4128
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525690
—
TN
Enumeration date
04/17/2008
Last updated
06/28/2018
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