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Individual

DR. JOSEPH EUGENE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
603 S MAIN ST, MOUNT OLIVE, MS 39119-8902
(601) 797-3405
(601) 797-9842
Mailing address
PO BOX 1107, MOUNT OLIVE, MS 39119-1107
(601) 797-3405
(601) 797-9842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03605
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015543
MS
Enumeration date
06/10/2005
Last updated
03/07/2023
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