Daryl Aundra Johnson in Hattiesburg - Student In An Organized Health Care Education/training Program
Daryl Aundra Johnson - NPI 1902095664
Daryl Aundra Johnson is a Student In An Organized Health Care Education/training Program in Hattiesburg, Mississippi. Daryl Aundra Johnson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Daryl Aundra Johnson is 1902095664. The last update date is 2016-08-23.
Daryl Aundra Johnson's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795459 and fax number 6015795240. The mailing address for Daryl Aundra Johnson is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daryl Aundra Johnson |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015795459 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902095664 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2016-08-23 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795459 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | T-2057 |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8681565 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Daryl Aundra Johnson by the Centers for Medicare & Medicaid Services?
The Daryl Aundra Johnson has been assigned the NPI (National Provider Identifier) 1902095664 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Daryl Aundra Johnson's physical address?
The Daryl Aundra Johnson is physically located at 415 S 28Th Ave, in the city of Hattiesburg, MS, with the postal code 394017246.
What is Daryl Aundra Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daryl Aundra Johnson's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902095664 to Daryl Aundra Johnson?
The Centers for Medicare & Medicaid Services assigned the 1902095664 to Daryl Aundra Johnson on 2007-10-18.
As of what date was the information pertaining to Daryl Aundra Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Daryl Aundra Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-08-23.