person
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. You can also correspond with Bruce Dewayne Johnson through the mailing address at 1092 SUGARHILL PL, COOKEVILLE, TN - 38501-4538 (mailing address contact number: 931-261-7399).

Location: 142 W 5Th St, Cookeville, TN, 38501-4538
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
State
Zip
38501-1760
Phone Number
931-528-2541
Fax Number
530-243-0445
person
Provider Business Mailing Address Details
Address
1092 Sugarhill Pl
City
State
Zip
38501-4538
Phone Number
931-261-7399
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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