COREY LEE JOHNSON

JACKSON, TN
NPI1740938018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  31745)
Enumeration Date2022-03-15
Last Update Date2023-03-17
Business Address
COREY LEE JOHNSON
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-7070
Mailing Address
COREY LEE JOHNSON
46 LYNWOOD ST
LEXINGTON, TN 38351-1316
Phone number: 731-602-0757
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