Individual
MR. JAMES GILMER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
JAMES H QUILLEN VETERANS AFFAIRS MEDICAL CENTER, SYDNEY AND LAMONT STREET MOUNTAIN HOME, TN 37684, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-2812
Mailing address
440 OLD US 19 E, SPRUCE PINE, NC 28777-6106
(828) 766-9966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007171
CLINICAL SOCIAL WORKER
NC
Enumeration date
08/08/2022
Last updated
08/08/2022
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