Search › Mississippi › 207Q00000X
Tatum Johnson
NPI 1124632187 · on the registry since 2020
Practice
- Address
- 6766 U S Highway 98
Hattiesburg, MS 39402 - Phone
- (601) 549-4877
- Fax
- (601) 901-6061
- Organisation at this address
- Proteus Genomics, Llc
Precision Compounding Llc
Precision Pharmacy Wellness And Compounding Llc
Precision Pharmacy Wellness And Compounding LlcInferred from a shared address, not stated in the registry.
Additional practice sites
- 4297 H/Wy 42, Bassfield, MS
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi