Individual
DR. TRECIA SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
613 18TH AVE NO, COLUMBUS, MS 39701
(662) 327-8232
(662) 328-6794
Mailing address
613 18TH AVE NO, COLUMBUS, MS 39701
(662) 327-8232
(662) 328-6794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
390
AK
111N00000X
Chiropractor
Primary
961
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02511
MC GROUP ID
—
Enumeration date
10/27/2006
Last updated
01/04/2008
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