Robert G Johnson MD

NPI 1114021722 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1114021722
Gender Male
Enumeration Date 09/12/2006
Last Updated 12/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3603 BIENVILLE BLVD
SUITE 103
OCEAN SPRINGS MS, 39564-5727, US
Phone (228) 762-3000
Fax (228) 818-4151
Business Location
3535 BIENVILLE BLVD
PROVIDER ENROLLMENT
OCEAN SPRINGS MS, 39564-5705, US
Phone (228) 762-3000
Fax (228) 818-4151
Toxanomy
Taxonomy Code 208G00000X
License State Missouri
License Number 1999138149
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According to our database, Robert G Johnson MD NPI is 1114021722, taxonomy code is 208G00000X and license number is 1999138149, license state is located at Missouri. Robert G Johnson MD physically located at 3603 Bienville Blvd, Ocean Springs MS, 39564-5727. NPI Number Robert G Johnson MD has the Individual type.

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1114021722 NPI number is provided on an as is basis without warranty of any kind. 1114021722 is maintained by the National Plan & Provider Enumeration System. The contents of Robert G Johnson MD are for informational purposes only.