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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

L DAVID JOHNSON, MD

Active

L DAVID JOHNSON, MD is a Sports Medicine (Orthopaedic) healthcare provider located in JACKSON, Tennessee. NPI 1053410662 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · JACKSON, TN

Registration Details

NPI Number
1053410662
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.942296941649 yrs)
Last Updated
Feb 29, 2012
License
17211 (TN)

Practice Information

Address
24 PHYSICIANS DR
JACKSON, TN, 383052070
Browse TN providers · Browse ZIP 38305
Phone
7316619825
Fax
7316686757
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.