Brandon Johnson Booneville Anesthesia Services
NPI #1174671614 in Booneville, Mississippi
Provider Information
- NPI Number
- 1174671614
- Entity Type
- Organization
- Organization Name
- Brandon Johnson Booneville Anesthesia Services
- Primary Specialty
- Contractor
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 HOSPITAL ST
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-3354
- Phone
- (469) 235-5588
Authorized Official
- Name
- TERRENCE BRANDON JOHNSON
- Title
- PRESIDENT
- Phone
- (469) 235-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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