Individual
DR. WORD M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 SOUTH MAIN STREET, MOUNT OLIVE, MS 39119-1107
(601) 797-3405
(601) 797-9842
Mailing address
603 S MAIN ST, BOX 1107, MOUNT OLIVE, MS 39119-8902
(601) 797-3405
(601) 797-9842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10174
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019242
—
MS
Enumeration date
06/10/2005
Last updated
03/07/2023
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