Individual
MR. WAYNE ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
205 PLEASANT LAKES RDG, TERRY, MS 39170-8223
(601) 506-3058
Mailing address
205 PLEASANT LAKES RDG, TERRY, MS 39170-8223
(601) 506-3058
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
1664
MS
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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