| Doctor Name: | DR. JUANTINA MECHELLE JOHNSON |
| NPI Number: | 1285683342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD026588 |
| Business Practice Address: | 210 Hospital Cir Choctaw, MS - 393506781 |
| Business Phone Number: | 6013896302 |
| Business Fax Number: | 6016637924 |
| Mailing Address: | 210 Hospital Cir, CHOCTAW |
| State: | MS |
| Postal Code: | 393506781 |
| Phone Number: | 6013896302 |
| Fax Number: | 6016637924 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | MD026588 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |