Individual
NICHOLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
815 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2079
(601) 554-7400
Mailing address
3688 VETERANS MEMORIAL DR STE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5116
MS
Other
Enumeration date
06/27/2012
Last updated
12/02/2024
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