NPI 1053315028

William Walter Johnson, MD

Practitioner Addiction Medicine (Preventive Medicine) Physician Jackson, MS

Practice location

Address: 1935 Lakeland Dr STE 900, Jackson, MS 39216-5028
Phone: (601) 840-1454
Mailing address: 536 Royal Pecan Way, Collierville, TN 38017-1734

Registered specialties (2)

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 14886 (MS)

Other Preventive Medicine providers in Mississippi →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 14886 (MS)

Other Obstetrics & Gynecology providers in Mississippi →

Registry record

NPI: 1053315028
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2005
Record last updated: 28 Jul 2021

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.