Individual
DR. CARL EDWARD JOHNS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Mailing address
14940 SE 140TH AVENUE RD, WEIRSDALE, FL 32195-2203
(321) 431-8285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28051
MS
Other
Enumeration date
03/21/2018
Last updated
12/09/2021
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