MR. Larry G Johnson, CRNA
NPI #1407819725 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1407819725
- Entity Type
- Individual
- Name
- MR. Larry G Johnson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 8, 2006
- Last Updated
- Aug 13, 2008
Practice Location
- Address
- 1104 TUSCULUM BLVD
- Address 2
- SUITE 303
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37745-4091
- Phone
- (423) 636-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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