| Mr Gary Russell Johnson, PT | |
| 558 1st South St, Woodville, MS 39669-3777 | |
| (601) 888-7944 | |
| (601) 888-4676 | 
| Full Name | Mr Gary Russell Johnson | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 558 1st South St, Woodville, Mississippi | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285794107 | NPI | - | NPPES | 
| 00126497 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT1639 (Mississippi) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Gary Russell Johnson, PT 558 1st South St, Woodville, MS 39669-3777 Ph: (601) 888-7944 | Mr Gary Russell Johnson, PT 558 1st South St, Woodville, MS 39669-3777 Ph: (601) 888-7944 | 
| Premier Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 558 1st South St, Woodville, MS 39669 Phone: 601-888-7944 Fax: 601-888-7687 | |
| Virginia Lewis, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 558 1st South St, Woodville, MS 39669 Phone: 601-888-7944 Fax: 601-888-4767 |