IndividualActive
George Johnson
NPI 1265760482 · Contractor · Terry, MS
Provider details
- NPI number
- 1265760482
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
194 Midway Estates Dr
Terry, MS 39170-8488
Phone: (601) 878-0487
Fax: (601) 815-9804
Mailing address
Po Box 1939
Jackson, MS 39215-1939
Registry dates
- Enumerated
- 2009-11-29
- Last updated
- 2009-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.