Dr. Clyde Joseph Johnson
Health Service
1124 Blanton Dr # 100
Sevierville
, Tennessee 37862-5049
Dr. Clyde Joseph Johnson
Health Service
1124 Blanton Dr # 100
Sevierville
, Tennessee 37862-5049
(865) 406-1600
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Clyde Joseph Johnson
- 878 Festival Ln
- Knoxville, TN
- Zip : 37923-2167
- Phone : (865) 406-1600
Second Address
- Dr. Clyde Joseph Johnson
- 1124 Blanton Dr # 100
- Sevierville, TN
- Zip : 37862-5049
- Phone : (865) 286-6950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 3637 | TN |
National Provider Identifier
| NPI | 1588242416 |
|---|---|
| Provider Name | Dr. Clyde Joseph Johnson |
| First Address | Knoxville, TN 37923-2167 |
| Second Address | Sevierville, TN 37862-5049 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2021 |
| Last Update Date | 31/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.