Individual
DR. JOEL F JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 COUNTY SERVICES DR, TENNESSEE DEPARTMENT HEALTH, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 526-7451
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
(931) 520-0413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD0000008094
TN
208600000X
Surgery Physician
MD0000008094
TN
208D00000X
General Practice Physician
Primary
MD8094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598817017
NPI
TN
05
—
444-7818
—
TN
05
—
444-8031
—
TN
Enumeration date
10/03/2005
Last updated
03/08/2018
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