DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JOHNSON CLINIC OF COVINGTON, INC

MEDICARE: JOHNSON CLINIC OF COVINGTON, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD11374TN

General Provider Information

NPI Number : 1376837260
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSON CLINIC OF COVINGTON, INC
Provider Business Mailing Address
First Line : PO BOX 507
Second Line :
City : COVINGTON
State : TN
Zip : 38019-0507
Country : US
Telephone Number : 901-475-4752
Fax Number : 901-475-1554
Provider Business Practice Location Address
First Line : 4235 HIGHWAY 51 S
Second Line :
City : BRIGHTON
State : TN
Zip : 38011-6921
Country : US
Telephone Number : 901-475-4752
Fax Number : 901-475-1554
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SAMUEL T. JOHNSON SR.
Credential : M.D.
Telephone Number : 901-475-4752
Provider Enumeration Date : 06/08/2011
Last Update Date : 06/08/2011

Similar Medicare Providers

1457304131 — DR. SAMUEL T JOHNSON SR. MD
Practice Location Address:
4235 HIGHWAY 51 S
BRIGHTON, TN
38011-6921
Practice Phone: 901-475-4752
Practice Fax: 901-475-1554
1770781544 — FAMILY PRACTICE OF COVINGTON, INC
Practice Location Address:
4235 HIGHWAY 51 SOUTH
BRIGHTON, TN
38011-6921
Practice Phone: 901-475-4752
Practice Fax: 901-475-1554
1518951664 — MICHAEL SCOTT CRAIG MD
Practice Location Address:
1880 OLD HWY 51 , SUITE C
BRIGHTON, TN
38011-7043
Practice Phone: 901-837-7979
Practice Fax: 901-837-7999
1063406114 — BUFFY J COOK MD
Practice Location Address:
1880 OLD HWY 51 SUITE C
BRIGHTON, TN
38011-7043
Practice Phone: 901-837-7979
Practice Fax: 901-837-7999
1679567390 — BRIGHTON FAMILY MEDICINE
Practice Location Address:
1880 OLD HWY 51 , SUITE C
BRIGHTON, TN
38011
Practice Phone: 907-837-7979
Practice Fax: 901-837-7999
1972554335 — CHARLES L PORTER
Practice Location Address:
1880 OLD HIGHWAY 51 S
BRIGHTON, TN
38011-8025
Practice Phone: 901-837-8981
Practice Fax: 901-837-8986

Directions to “JOHNSON CLINIC OF COVINGTON, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.