Individual
RICHARD SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1382
(601) 249-1751
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(769) 231-7371
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18112
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01886827
—
MS
Enumeration date
08/19/2006
Last updated
10/17/2024
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