NPI 1174671614

Brandon Johnson Booneville Anesthesia Services

Organisation Contractor Booneville, MS

Practice location

Address: 100 Hospital St, Booneville, MS 38829-3354
Phone: (469) 235-5588
Mailing address: PO Box 868148, Plano, TX 75086-8148

Authorised official

Name: Terrence Brandon Johnson
Title: President
Phone: (469) 235-5588

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Mississippi →

Registry record

NPI: 1174671614
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.