William E Johnston MD Inc

Organization Active NPI Family Medicine Physician · Vicksburg, MS

NPI 1871608588 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1871608588
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
19317 (MS)
Legal business name
WILLIAM E JOHNSTON MD INC
Practice address
1901 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 636-0097
Fax
(601) 629-9969
NPI assigned
Aug 20, 2006
Organization subpart
No

Authorized official

Name
William E Johnston, MD
Title
President
Phone
(601) 636-0097

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 19317 MS Yes

Addresses

Primary practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 636-0097

Other providers in Vicksburg, MS

All providers in Vicksburg, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.