George Reginald Johnson
NPI #1265760482 in Terry, Mississippi
Provider Information
- NPI Number
- 1265760482
- Entity Type
- Individual
- Name
- George Reginald Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor
- Enumeration Date
- Nov 29, 2009
- Last Updated
- Nov 29, 2009
Practice Location
- Address
- 194 MIDWAY ESTATES DR
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170-8488
- Phone
- (601) 878-0487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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