person
Mr. Michael Frederick Johnson, PA-C
Medical Physician Assistant in Tullahoma, Tennessee
NPI 1679738272

Michael Frederick Johnson is a Medical Physician Assistant based in Tullahoma, TN and is specialized in Medical. Michael Frederick Johnson practices in Tullahoma, TN and has the professional credentials of PA-C. The NPI Number for Michael Frederick Johnson is 1679738272 and holds a License No. 1564 (Tennessee).

The current practice location address for Michael Frederick Johnson is 1802 N Jackson St, Tullahoma, TN and can be reached out via phone at 931-455-4529 and via fax at 931-455-4633.

Location: 1802 N Jackson St, Tullahoma, TN, 37388
person
Provider Profile Details
NPI Number
1679738272
Provider Name
Michael Frederick Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1802 N Jackson St, Tullahoma, TN, 37388
Phone Number
931-455-4529
Fax Number
931-455-4633
Provider Enumeration Date
07/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1802 N Jackson St
City
State
Zip
37388-8218
Phone Number
931-455-4529
Fax Number
931-455-4633
person
Provider Business Mailing Address Details
Address
1802 N Jackson St
City
State
Zip
37388-8218
Phone Number
931-455-4529
Fax Number
931-455-4633
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1564 (Tennessee)
Definition
Definition to come...
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