Individual
MS. RAYAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 JR MERRILL RD, BUCKATUNA, MS 39322-9502
(601) 648-9211
Mailing address
PO BOX 1558, WAYNESBORO, MS 39367-1558
(601) 648-9211
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
MS
247200000X
Other Technician
54276
MS
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MS
347C00000X
Private Vehicle
—
MS
Other
Enumeration date
06/18/2007
Last updated
09/11/2025
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