SearchMississippi207Q00000X

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 Llc
Inferred 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