Individual
DR. CLEVELAND ERIC JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 S 13TH AVE, LAUREL, MS 39440-4345
(601) 649-5990
(601) 425-7510
Mailing address
840 N 6TH AVE, LAUREL, MS 39440-2711
(601) 426-6401
(601) 425-7510
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05931
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012410
—
MS
Enumeration date
03/16/2006
Last updated
07/08/2007
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