Provider Demographics
NPI:1275888992
Name:JOHNSON, JAMII (MD)
Entity Type:Individual
Prefix:
First Name:JAMII
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3068 WHITLAND CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3567
Mailing Address - Country:US
Mailing Address - Phone:615-574-9441
Mailing Address - Fax:615-821-0898
Practice Address - Street 1:200 HIGHWAY 52 BYP E STE D
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083
Practice Address - Country:US
Practice Address - Phone:615-821-0898
Practice Address - Fax:615-821-0899
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD53062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine