Individual
JAMES DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
SYDNEY & LAMONT ST, QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
3331 REDSTONE RD, JOHNSON CITY, TN 37604-2167
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00000090
TN
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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