Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERMAINE ANTWAN JOHNSON, CERTIFIED HAIR LOSS
Active Sole ProprietorMR. DERMAINE ANTWAN JOHNSON, CERTIFIED HAIR LOSS is a Physical Therapist Assistant healthcare provider located in MERIDIAN, Mississippi. NPI 1073975066 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · MERIDIAN, MS
Registration Details
- NPI Number
- 1073975066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2016 (10.399153994564 yrs)
- Last Updated
- Mar 28, 2016
- License
-
5055 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3500 HIGHWAY 39 N APT 77MERIDIAN, MS, 393011339Browse MS providers · Browse ZIP 39301
- Phone
- 3345057628
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.