Individual
DR. MARLA Y JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6827
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
714-L
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
21599
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD.206128
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07002256
—
MS
05
—
177371
—
AL
Enumeration date
07/07/2008
Last updated
04/20/2022
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