Organization
RICHLAND PRIMARY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE C JOHNSON JR. M.D. (PRESIDENT)
(601) 932-6400
Entity
Organization
Contact information
Practice address
1201 HIGHWAY 49 S, SUITE 4, RICHLAND, MS 39218-9425
(601) 932-6400
(601) 932-6437
Mailing address
PO BOX 180367, RICHLAND, MS 39218-0367
(601) 932-6400
(601) 932-6437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
02/20/2020
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