Individual
VERONICA Y JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
252 NORTHSIDE DR, NEWTON, MS 39345-9756
(601) 683-3117
(601) 683-2505
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16109
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119950
—
MS
Enumeration date
05/24/2005
Last updated
11/07/2013
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