Johnson, Gerald

Johnson, Gerald is an individual health care provider with primary practice located at 6148 Lee Hwy Ste 120 , Chattanooga TN 37421-3039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Johnson, Gerald can be contacted via phone (423) 498-3300.

Contact Information

Primary practice address
6148 Lee Hwy Ste 120 Chattanooga TN 37421-3039
Phone: (423) 498-3300
Fax: (423) 498-3301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD422722 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD0000032248 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 32248 Tennessee

Profile Details

NPI number 1194772178
LBN Legal business name Johnson, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Aug 1st, 2023 - about last year

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 1194772178 NPPES
Pennsylvania MEDICAID 1008205830001

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