NPI 1902095664

Daryl Aundra Johnson, MD

Practitioner Neurological Surgery Physician Hattiesburg, MS

Practice location

Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: (601) 579-5459
Fax: (601) 268-5733

Registered specialties (3)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 23216 (MS)

Other Neurological Surgery providers in Mississippi →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence T-2057 (MS)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence T-2057 (MS)

Other Student in an Organized Health Care Education/Training Program providers in Mississippi →

Registry record

NPI: 1902095664
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2007
Record last updated: 23 Aug 2016

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.