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Bruce Dewayne Johnson, MD
Specialist in Cookeville, Tennessee
NPI 1982650289

Bruce Dewayne Johnson is a Specialist based in Cookeville, TN. Bruce Dewayne Johnson practices in Cookeville, TN and has the professional credentials of MD. The NPI Number for Bruce Dewayne Johnson is 1982650289 and holds a License No. MD0000040859 (Tennessee).

The current practice location address for Bruce Dewayne Johnson is 142 W 5Th St, Cookeville, TN and can be reached out via phone at 931-528-2541 and via fax at 530-243-0445.

Location: 142 W 5Th St, Cookeville, TN, 38501-4538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982650289
Provider Name
Bruce Dewayne Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
142 W 5Th St, Cookeville, TN, 38501-4538
Phone Number
931-528-2541
Fax Number
530-243-0445
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3338289 05 TN
institution
Provider Business Practice Location Address Details
Address
142 W 5Th St
City
Cookeville
State
Tennessee
Zip
38501-1760
Phone Number
931-528-2541
Fax Number
530-243-0445
person
Provider Business Mailing Address Details
Address
142 W 5Th St
City
Cookeville
State
Tennessee
Zip
38501-1760
Phone Number
931-528-2541
Fax Number
530-243-0445
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0000040859 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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