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Russell Johnson, ATC
NPI 1861423790 · on the registry since 2006
Practice
- Address
- 1190 S 18th Street Ext
Oxford, MS 38655 - Phone
- (662) 234-0424
- Fax
- (662) 234-0485
- Organisation at this address
- White Oak Family Medicine Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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