Dr TATUM SIMON JOHNSON MD is a female medical professional, specializing in Diagnostic Radiology. She graduated in 2000 from Louisiana State University School Of Medicine In New Orleans.
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM
NC
271570001
Tel: 3367162734
| Npi | 1003924028 |
| Pac Id | 7719918523 |
| Professional Enrollment Id | I20070727000167 |
| Last Name | JOHNSON |
| First Name | TATUM |
| Middle Name | SIMON |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Group Practice Pac Id | 4486564952 |
| Number Of Group Practice Members | 1719 |
| Line 1 Street Address | MEDICAL CTR BLVD |
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| City | WINSTON SALEM |
| State | NC |
| Zip Code | 271570001 |
| Phone Number | 3367162734 |
| Hospital Affiliation Ccn 1 | 340047 |
| Hospital Affiliation Lbn 1 | NORTH CAROLINA BAPTIST HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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