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Earnest Johnson
NPI 1386247039 · on the registry since 2020
Practice
- Address
- 1110 Clay St
Vicksburg, MS 39183 - Phone
- (601) 738-5820
- Fax
- (601) 738-5083
- Organisation at this address
- Trinity Prosthetic & Orthotics Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-17
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