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Dr. William Walter Johnson, MD
Addiction Medicine (Preventive Medicine) Physician in Jackson, Mississippi
NPI 1053315028

William Walter Johnson is an Addiction Medicine (Preventive Medicine) Physician based in Collierville, MS and is specialized in Addiction Medicine. William Walter Johnson practices in Jackson, MS and has the professional credentials of MD. The NPI Number for William Walter Johnson is 1053315028 and holds a License No. 14886 (Mississippi).

The current practice location address for William Walter Johnson is 1935 Lakeland Dr Ste 900, Jackson, MS and can be reached out via phone at 601-840-1454. You can also correspond with William Walter Johnson through the mailing address at 536 ROYAL PECAN WAY, COLLIERVILLE, TN - 38017-1734 (mailing address contact number: 662-538-8009).

Location: 1935 Lakeland Dr Ste 900, Jackson, MS, 38017-1734
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Provider Profile Details
NPI Number
1053315028
Provider Name
William Walter Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1935 Lakeland Dr Ste 900, Jackson, MS, 38017-1734
Phone Number
601-840-1454
Fax Number
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015923 05 MS
743030196 01 MS PRACTICE TAX ID #
00117218 05 MS
institution
Provider Business Practice Location Address Details
Address
1935 Lakeland Dr Ste 900
City
State
Zip
39216-5028
Phone Number
601-840-1454
Fax Number
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Provider Business Mailing Address Details
Address
536 Royal Pecan Way
City
State
Zip
38017-1734
Phone Number
662-538-8009
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
14886 (Mississippi)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
14886 (Mississippi)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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