Individual
MRS. ASHLEY DANIELLE FARNUM-JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
303 MARION AVE, MCCOMB, MS 39648-2707
(601) 249-4758
(601) 249-4729
Mailing address
1041 BOYD REEVES RD, JAYESS, MS 39641-7147
(601) 551-5354
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5736
MS
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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