Organization
BRANDON JOHNSON BOONEVILLE ANESTHESIA SERVICES
Active
Other names
Booneville Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE BRANDON JOHNSON (PRESIDENT)
(469) 235-5588
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
(469) 235-5588
Mailing address
PO BOX 868148, PLANO, TX 75086-8148
(469) 235-5588
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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