NPI 1790717478 · live from the CMS NPI Registry
Richard Leake Johnston, MD
Internal Medicine, Gastroenterology in Columbus, MS. National Provider Identifier 1790717478, active.
NPI record
| NPI | 1790717478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 600 Leigh Drive, Columbus, MS 39705 |
| Practice phone | 662-327-7525 |
| Enumerated | July 6, 2006 |
| Last updated | January 10, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 18377 (MS) |
| Internal Medicine, Gastroenterology | 207RG0100X | TRN-10588 (FL) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 18377 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.