IndividualActive
Christian Johnston
NPI 1104429620 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Cleveland, MS
Provider details
- NPI number
- 1104429620
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT-0725 (MS)
Mailing address
1005 Lamar St
Cleveland, MS 38732-3102
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.