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.
WEST TENNESSEE MEDICAL GROUP, INC
640 NUCKOLLS RD
BOLIVAR
TN
380081532
Tel: 7316608759
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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