DR. Samuel Terry Johnson JR., M.D.

NPI #1427296276 in Bolivar, Tennessee

Provider Information

NPI Number: 1427296276
Entity Type: Individual
Name: DR. Samuel Terry Johnson JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 2, 2009
Last Updated: Dec 14, 2011

Practice Location

Address: 629 NUCKOLLS RD
City: Bolivar
State: Tennessee
ZIP Code: 38008-1599
Phone: (731) 658-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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