MR. Mitchell Lamar Johnson

NPI #1295325033 in Meridian, Mississippi

Provider Information

NPI Number: 1295325033
Entity Type: Individual
Name: MR. Mitchell Lamar Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 26, 2021
Last Updated: Jan 26, 2021

Practice Location

Address: 10176 WELDWOOD DR
City: Meridian
State: Mississippi
ZIP Code: 39307-9368
Phone: (160) 155-9018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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