Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MILES MCHANEY JOHNSON, M.D.
Active Sole ProprietorDR. MILES MCHANEY JOHNSON, M.D. is a 204R00000X healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1811928013 is currently active in the NPPES registry. Verify at CMS.
204R00000X · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1811928013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.156523936145 yrs)
- Last Updated
- Feb 14, 2013
- Licenses
-
E-0060 (AR)E0060 (AR)E0060 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2820 E MILLENNIUM PLSUITE 1FAYETTEVILLE, AR, 727036514Browse AR providers · Browse ZIP 72703
- Phone
- 4792518055
- Fax
- 4792511511
- Primary Specialty
-
204R00000X
204R00000X
- Additional Specialty
- 204R00000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other 204R00000X Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| TYLER ESTES | MD | 1912586454 |
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.