Marshall R Johnson in Hendersonville - Addiction Medicine
Marshall R Johnson - NPI 1124007984
Marshall R Johnson is a Addiction Medicine in Hendersonville, Tennessee. Marshall R Johnson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Marshall R Johnson is 1124007984. The last update date is 2023-10-30.
Marshall R Johnson's current location address is 355 New Shackle Island Rd, Hendersonville, Tennessee. You can contact this provider via phone number 6153381000 and fax number 6153381101. The mailing address for Marshall R Johnson is 355 New Shackle Island Rd, Hendersonville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marshall R Johnson |
|---|---|
| Address | 355 New Shackle Island Rd, Hendersonville, Tennessee |
| Phone Number | 6153381000 |
| Fax Number | 6153381101 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124007984 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
| Address | 355 New Shackle Island Rd |
|---|---|
| City | Hendersonville |
| State | Tennessee (TN) |
| Post Code | 370752300 |
| Phone Number | 6153381000 |
| Fax Number | 6153381101 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | MD37449 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3884900 | TN | -- |
Post Comment/ Review Below
What is the Marshall R Johnson's unique identification number?
The Marshall R Johnson has been assigned the NPI (National Provider Identifier) Number 1124007984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Marshall R Johnson is geographically located?
The Marshall R Johnson is physically situated at the following location: 355 New Shackle Island Rd, Hendersonville, TN, 370752300.
What is Marshall R Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marshall R Johnson is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124007984 to Marshall R Johnson?
The Marshall R Johnson received its 1124007984 assignment from the Centers for Medicare & Medicaid Services on 2006-01-11.
As of what date were the details related to Marshall R Johnson most recently updated or revised?
The information pertaining to Marshall R Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-30.
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