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Contact Information

WILLIAM W JOHNSON, MD
1935 LAKELAND DR STE 900
JACKSON, MS39216-5028
 Phone: 601-840-1454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for WILLIAM W JOHNSON · (Male)

NPI # 1053315028
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2005
Last updated 07/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 14886
  • MS Medicaid 00117218
  • MS Medicaid 09015923
  • MS Other 743030196 PRACTICE TAX ID #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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