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Individual

PAUL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 UNION AVENUE, 2 SHORB TOWER, MEMPHIS, TN 38104-2030
(901) 478-0900
(901) 266-6415
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
(901) 478-0954
(901) 478-0951

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
64847
TN
208600000X
Surgery Physician
ME138979
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
64847
TN
208C00000X
Colon & Rectal Surgery Physician
ME138979
FL

Other

Enumeration date
04/17/2012
Last updated
02/06/2025
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