Provider Demographics
NPI:1790779536
Name:JOHNSTON, MARGREETE GAYE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MARGREETE
Middle Name:GAYE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3901 CENTRAL PIKE
Mailing Address - Street 2:SUITE 251
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3419
Mailing Address - Country:US
Mailing Address - Phone:615-232-8033
Mailing Address - Fax:615-885-7838
Practice Address - Street 1:3901 CENTRAL PIKE
Practice Address - Street 2:SUITE 251
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3419
Practice Address - Country:US
Practice Address - Phone:615-232-8033
Practice Address - Fax:615-885-7838
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2019-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD16384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512272Medicaid
TN1512272Medicaid