BRUCE DEWAYNE JOHNSON

COOKEVILLE, TN
NPI1982650289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: TN  MD0000040859)
Enumeration Date2006-05-26
Last Update Date2015-07-10
Business Address
-- BRUCE DEWAYNE JOHNSON MD
142 W 5TH ST
COOKEVILLE, TN 38501-1760
Phone number: 931-528-2541
Mailing Address
-- BRUCE DEWAYNE JOHNSON MD
1092 SUGARHILL PL
COOKEVILLE, TN 38501-4538
Phone number: 931-261-7399
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