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Thomas Dwayne Johnson, MD
Family Medicine Physician in Jamestown, Kentucky
NPI 1821096421

Thomas Dwayne Johnson is a Family Medicine Physician based in Louisville, KY. Thomas Dwayne Johnson practices in Jamestown, KY and has the professional credentials of MD. The NPI Number for Thomas Dwayne Johnson is 1821096421 and holds a License No. 37317 (Kentucky).

The current practice location address for Thomas Dwayne Johnson is 1417 N Main St, Jamestown, KY and can be reached out via phone at 270-343-2597 and via fax at 270-343-2598.

Location: 1417 N Main St, Jamestown, KY, 40201-0909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821096421
Provider Name
Thomas Dwayne Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1417 N Main St, Jamestown, KY, 40201-0909
Phone Number
270-343-2597
Fax Number
270-343-2598
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000294096 01 KY ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
1417 N Main St
City
Jamestown
State
Kentucky
Zip
42629-2411
Phone Number
270-343-2597
Fax Number
270-343-2598
person
Provider Business Mailing Address Details
Address
1417 N Main St
City
Jamestown
State
Kentucky
Zip
42629-2411
Phone Number
270-343-2597
Fax Number
270-343-2598
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
37317 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
37317 (Kentucky)
Definition
Definition to come...
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