IDELLA JOHNSON

TAZEWELL, TN
NPI1073554523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  670)
Enumeration Date2006-06-08
Last Update Date2015-12-16
Business Address
-- IDELLA JOHNSON PA-C
1610 TAZEWELL RD SUITE 201
TAZEWELL, TN 37879-3600
Phone number: 423-626-8393
Mailing Address
-- IDELLA JOHNSON PA-C
1610 TAZEWELL RD SUITE 201
TAZEWELL, TN 37879-3600
Phone number: 423-626-8393
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