Individual
MRS. KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
5117 SAVANNAH PKWY, SOUTHAVEN, MS 38672-7509
(901) 870-0168
Mailing address
5117 SAVANNAH PKWY, SOUTHAVEN, MS 38672-7509
(901) 870-0168
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
21270
TN
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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