Individual
MS. BRITTANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2542 PYRAMID DR, SOUTHAVEN, MS 38672-9474
(901) 268-7145
Mailing address
2542 PYRAMID DR, SOUTHAVEN, MS 38672-9474
(901) 268-7145
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
TN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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