| Johnny Wilson, | |
|
925 Calhoun Ave, Yazoo City, MS 39194-3229 | |
| (662) 746-7770 | |
| (662) 746-4185 |
| Full Name | Johnny Wilson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 925 Calhoun Ave, Yazoo City, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508192352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1629 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Wilson, 925 Calhoun Ave, Yazoo City, MS 39194-3229 Ph: (662) 746-7770 | Johnny Wilson, 925 Calhoun Ave, Yazoo City, MS 39194-3229 Ph: (662) 746-7770 |
Mrs. Undrea Nash, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2041 Grand Ave, Yazoo City, MS 39194 Phone: 662-746-4621 | |
Dora Carl, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 746 E Fifteenth St, Yazoo City, MS 39194 Phone: 662-746-4032 Fax: 662-746-0967 |