Individual
SUSAN ELAINE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
(615) 867-8182
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
(615) 867-8182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15521
MS
208000000X
Pediatrics Physician
Primary
MD42540
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120828
—
MS
Enumeration date
03/09/2006
Last updated
06/26/2020
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