Johnson, Samuel Terry

Johnson, Samuel Terry is an individual health care provider with primary practice located at 629 Nuckolls Rd , Bolivar TN 38008-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Samuel Terry can be contacted via phone (731) 658-3388.

Contact Information

Primary practice address
629 Nuckolls Rd Bolivar TN 38008-1599
Phone: (731) 658-3388
Fax: (731) 658-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47830 Tennessee

Profile Details

NPI number 1427296276
LBN Legal business name Johnson, Samuel Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Dec 14th, 2011 - about 15 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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