Individual
CHARLES GRANT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(615) 781-4000
Mailing address
491 SAGE RD N STE 200, WHITE HOUSE, TN 37188-9361
(615) 672-7122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71990
TN
Other
Enumeration date
03/31/2021
Last updated
09/26/2024
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