Individual
DR. MOLLIE MCKAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 844-3583
(662) 840-7032
Mailing address
PO BOX 2180, TUPELO, MS 38803-2180
(662) 844-3583
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A4610
MS
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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