ROGER DALE JOHNSON

JOHNSON CITY, TN
NPI1215975362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  TN11991)
Enumeration Date2006-06-02
Last Update Date2008-04-30
Business Address
-- ROGER DALE JOHNSON FNP
207 E MYRTLE AVE
JOHNSON CITY, TN 37601-4633
Phone number: 423-925-2600
Mailing Address
-- ROGER DALE JOHNSON FNP
252 WORTHINGTON DR
KINGSPORT, TN 37663-3180
Phone number: 423-925-2600
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