Individual provider · Type 1 NPI
James David Johnson, PA
Surgical Physician Assistant · Mountain Home, TN
NPI number
1902851579
Active
Practice location
Sydney & Lamont St, Quillen Vamc
Mountain Home, TN 37684
Mailing address
3331 Redstone Rd
Johnson City, TN 37604-2167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 00000090 (TN) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1902851579
James David Johnson, PA's National Provider Identifier is 1902851579, issued on May 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mountain Home, TN. The record was last updated on Jul 8, 2007.