Individual
MR. RICHARD LEAKE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 LEIGH DRIVE, COLUMBUS, MS 39705
(662) 327-7525
(662) 243-2252
Mailing address
600 LEIGH DRIVE, COLUMBUS, MS 39705
(662) 327-7525
(662) 243-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18377
MS
207RG0100X
Gastroenterology Physician
Primary
18377
MS
207RG0100X
Gastroenterology Physician
TRN-10588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04604768
—
MS
Enumeration date
07/06/2006
Last updated
01/10/2012
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