Provider Demographics
NPI:1295230183
Name:JOHNSON, HUNTER AUSTIN (DO)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:AUSTIN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4071 CANE RIDGE PKWY STE 112
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2971
Mailing Address - Country:US
Mailing Address - Phone:615-731-8390
Mailing Address - Fax:615-731-8391
Practice Address - Street 1:4071 CANE RIDGE PKWY STE 112
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2971
Practice Address - Country:US
Practice Address - Phone:615-731-8390
Practice Address - Fax:615-731-8391
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-24
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4465207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine