L David Johnson
Adult Reconstructive Orthopaedic Surgeon
24 Physicians Dr
Jackson
, Tennessee 38305-2070
L David Johnson
Adult Reconstructive Orthopaedic Surgeon
24 Physicians Dr
Jackson
, Tennessee 38305-2070
(731) 668-6757
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- L David Johnson
- 24 Physicians Dr
- Jackson, TN
- Zip : 38305-2070
- Fax : (731) 668-6757
- Phone : (731) 661-9825
Second Address
- L David Johnson
- 24 Physicians Dr
- Jackson, TN
- Zip : 38305-2070
- Fax : (731) 668-6757
- Phone : (731) 661-9825
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 17211 | TN |
National Provider Identifier
| NPI | 1053410662 |
|---|---|
| Provider Name | L David Johnson |
| First Address | Jackson, TN 38305-2070 |
| Second Address | Jackson, TN 38305-2070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 29/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3025550 | (05) | TN |
| G44073 | (02) | TN |
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.