SAMUEL T JOHNSON JR.

WEST TENNESSEE MEDICAL GROUP, INC

Dr SAMUEL T JOHNSON JR. is a male medical professional, specializing in Family Medicine. He graduated in 2008 from Meharry Medical College School Of Medicine.

Contact

WEST TENNESSEE MEDICAL GROUP, INC

640 NUCKOLLS RD
BOLIVAR
TN
380081532

Tel: 7316608759

SAMUEL T JOHNSON JR. Information

Npi 1427296276
Pac Id 8527232941
Professional Enrollment Id I20111122000239
Last Name JOHNSON
First Name SAMUEL
Middle Name T
Suffix JR.
Gender M
Credential
Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WEST TENNESSEE MEDICAL GROUP, INC
Group Practice Pac Id 3971781006
Number Of Group Practice Members 112
Line 1 Street Address 640 NUCKOLLS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BOLIVAR
State TN
Zip Code 380081532
Phone Number 7316608759
Hospital Affiliation Ccn 1 441320
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2 440002
Hospital Affiliation Lbn 2 JACKSON-MADISON COUNTY GENERAL HOSPITAL
Hospital Affiliation Ccn 3 440131
Hospital Affiliation Lbn 3 BAPTIST MEMORIAL HOSPITAL TIPTON
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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