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Organization
BRANDON JOHNSON BOONEVILLE ANESTHESIA SERVICES
Active
Organization
BRANDON JOHNSON BOONEVILLE ANESTHESIA SERVICES
Active
Other names
Booneville Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE BRANDON JOHNSON (PRESIDENT)
(469) 235-5588
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
(469) 235-5588
Mailing address
PO BOX 868148, PLANO, TX 75086-8148
(469) 235-5588
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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