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
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 SpeechHearing and Speech

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