Individual
DR. MICHAEL REESE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 353-7070
Mailing address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 353-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08570
MS
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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