Martez Antonio Johnson
NPI #1205075637 in Jackson, Mississippi
Provider Information
- NPI Number
- 1205075637
- Entity Type
- Organization
- Organization Name
- Martez Antonio Johnson
- Primary Specialty
- Clinic/Center - Hearing and Speech
- Enumeration Date
- Feb 9, 2009
- Last Updated
- Feb 9, 2009
Practice Location
- Address
- 3751 BISHOP AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-5017
- Phone
- (601) 605-2313
Authorized Official
- Name
- MARTEZ ANTONIO JOHNSON
- Title
- OWNER
- Phone
- (601) 605-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
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