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1700896263
LEWIS DUBARD JOHNSTON
MADISON, MS
NPI
1700896263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 15001)
Enumeration Date
2006-08-08
Last Update Date
2018-03-17
Business Address
LEWIS DUBARD JOHNSTON M.D.
2173 MAIN ST
MADISON, MS 39110-6309
Phone number: 601-605-3858
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Mailing Address
LEWIS DUBARD JOHNSTON M.D.
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: 901-227-3255
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