Individual
BYRON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Mailing address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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