Individual
JOHNNY N LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(615) 570-4105
Mailing address
1055 PINE ST APT 126, NASHVILLE, TN 37203-4084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
09/13/2021
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