MARC EDWARD JOHNSON

BROOKHAVEN, MS
NPI1730475815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  23972)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  E8843)
Enumeration Date2011-06-27
Last Update Date2015-08-08
Business Address
-- MARC EDWARD JOHNSON M.D.
950 BROOKWAY BLVD
BROOKHAVEN, MS 39601-2644
Phone number: 601-833-7973
Mailing Address
-- MARC EDWARD JOHNSON M.D.
1111 S CHURCH ST
BROOKHAVEN, MS 39601-4007
Phone number: 601-695-0397