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NPI Code Detail

MEDICARE: DR. DAVID LEE JOHNSON M.D.

MEDICARE: DR. DAVID LEE JOHNSON M.D.
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 PhysicianMD019450TN

General Provider Information

NPI Number : 1770639619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LEE JOHNSON M.D.
Provider Business Mailing Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number : 615-893-4162
Provider Business Practice Location Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number : 615-893-4162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 03/14/2025

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