Johnston, Gina A

Johnston, Gina A is an individual health care provider with primary practice located at 7550 Wolf River Blvd Ste 200 , Germantown TN 38138-1778. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Johnston, Gina A can be contacted via phone (901) 542-6801.

Contact Information

Primary practice address
7550 Wolf River Blvd Ste 200 Germantown TN 38138-1778
Phone: (901) 542-6801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28387 Tennessee

Profile Details

NPI number 1790759850
LBN Legal business name Johnston, Gina A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 22nd, 2019 - about 7 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 1790759850 NPPES
Tennessee MEDICAID 3880737
Tennessee MEDICAID 149765001

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