THOMAS BRADLEY JOHNSON

JACKSON, MS
NPI1245312354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R857848)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- THOMAS BRADLEY JOHNSON CRNA
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-376-1848
Mailing Address
-- THOMAS BRADLEY JOHNSON CRNA
PO BOX 7539
JACKSON, MS 39284-7539
Phone number: 601-376-1848