DR. Wayne C Johnson JR., M.D.

NPI #1225087588 in Richland, Mississippi

Provider Information

NPI Number: 1225087588
Entity Type: Individual
Name: DR. Wayne C Johnson JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 6, 2006
Last Updated: Sep 8, 2020

Practice Location

Address: 1201 HIGHWAY 49 S STE 4
City: Richland
State: Mississippi
ZIP Code: 39218-9425
Phone: (601) 932-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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