| Steven Johnson Md Pllc | |
|
5109 Peter Taylor Park Dr Brentwood TN 37027-7671 | |
| (615) 237-7469 | |
| (615) 857-6344 |
| Full Name | Steven Johnson Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5109 Peter Taylor Park Dr, Brentwood, Tennessee |
| Authorized Official Name and Position | Steven Johnson (OWNER) |
| Authorized Official Contact | 6152377469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Johnson Md Pllc 9002 Gasserway Cir Brentwood TN 37027-8511 Ph: (615) 790-7992 | Steven Johnson Md Pllc 5109 Peter Taylor Park Dr Brentwood TN 37027-7671 Ph: (615) 237-7469 |
| NPI Number | 1902538499 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 0143605089 |
|---|---|
| Medicare Enrollment ID | O20220914000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902538499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven P Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306831284 PECOS PAC ID: 9032249776 Enrollment ID: I20100607000786 |
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