Richard Keith Johnson MD

NPI 1669494175 - Surgery - 208600000X

NPI Details
NPI 1669494175
Gender Male
Enumeration Date 07/24/2006
Last Updated 08/24/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
971 LAKELAND DR
SUITE 1460
JACKSON MS, 39216-4621, US
Phone (601) 982-3202
Fax (601) 982-3259
Business Location
971 LAKELAND DR
SUITE 1460
JACKSON MS, 39216-4621, US
Phone (601) 982-3202
Fax (601) 982-3259
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 2006015220
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According to our database, Richard Keith Johnson MD NPI is 1669494175, taxonomy code is 208600000X and license number is 2006015220, license state is located at Missouri. Richard Keith Johnson MD physically located at 971 Lakeland Dr, Jackson MS, 39216-4621. NPI Number Richard Keith Johnson MD has the Individual type.

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1669494175 NPI number is provided on an as is basis without warranty of any kind. 1669494175 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Keith Johnson MD are for informational purposes only.