person
Dr. Samuel A Johnson, MD
Specialist in Columbus, Mississippi
NPI 1083638217

Samuel A Johnson is a Specialist based in Columbus, MS. Samuel A Johnson practices in Columbus, MS and has the professional credentials of MD. The NPI Number for Samuel A Johnson is 1083638217 and holds a License No. 13781 (Mississippi).

The current practice location address for Samuel A Johnson is 600 Leigh Dr, Columbus, MS and can be reached out via phone at 662-327-7525 and via fax at 662-243-2252. You can also correspond with Samuel A Johnson through the mailing address at 600 LEIGH DR, COLUMBUS, MS - 39705-3014 (mailing address contact number: 662-327-7525).

Location: 600 Leigh Dr, Columbus, MS, 39705-3014
person
Provider Profile Details
NPI Number
1083638217
Provider Name
Samuel A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Leigh Dr, Columbus, MS, 39705-3014
Phone Number
662-327-7525
Fax Number
662-243-2252
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
730-06661 01 MS BLUE CROSS OF ALABAMA
00114403 05 MS
009914955 01 MS ALACAID
640813832 01 MS TAX ID
100015721 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
600 Leigh Dr
City
State
Zip
39705-3014
Phone Number
662-327-7525
Fax Number
662-243-2252
person
Provider Business Mailing Address Details
Address
600 Leigh Dr
City
State
Zip
39705-3014
Phone Number
662-327-7525
Fax Number
662-243-2252
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
13781 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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