Doctor Name: | SASHA ANETTE JOHNSON |
NPI Number: | 1306094172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 498 Industrial Dr Bristol, TN - 376205400 |
Business Phone Number: | 4238781600 |
Business Fax Number: | |
Mailing Address: | Po Box 9054, GRAY |
State: | TN |
Postal Code: | 376159054 |
Phone Number: | 4234673600 |
Fax Number: | 4234673644 |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |