Johnson, Marshall R

Johnson, Marshall R is an individual health care provider with primary practice located at 355 New Shackle Island Rd , Hendersonville TN 37075-2300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Marshall R can be contacted via phone (615) 338-1000.

Contact Information

Primary practice address
355 New Shackle Island Rd Hendersonville TN 37075-2300
Phone: (615) 338-1000
Fax: (615) 338-1101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD37449 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD37449 Tennessee

Profile Details

NPI number 1124007984
LBN Legal business name Johnson, Marshall R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124007984 NPPES
Tennessee MEDICAID 3884900

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