Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID SHANE JOHNSON, PA-C
Active Sole ProprietorMR. DAVID SHANE JOHNSON, PA-C is a Physician Assistant healthcare provider located in MAGEE, Mississippi. NPI 1962619932 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MAGEE, MS
Registration Details
- NPI Number
- 1962619932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2007 (19.263181627942 yrs)
- Last Updated
- Dec 23, 2019
- License
-
PA024 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
376A SIMPSON HIGHWAY 149MAGEE, MS, 391113409Browse MS providers · Browse ZIP 39111
- Phone
- 6018491475
- Fax
- 6018491549
- Primary Specialty
-
Physician Assistant
363A00000X
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.