Johnston, Richard Leake

Johnston, Richard Leake is an individual health care provider with primary practice located at 600 Leigh Drive , Columbus MS 39705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Johnston, Richard Leake can be contacted via phone (662) 327-7525.

Contact Information

Primary practice address
600 Leigh Drive Columbus MS 39705
Phone: (662) 327-7525
Fax: (662) 243-2252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18377 Mississippi
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X TRN-10588 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 18377 Mississippi

Profile Details

NPI number 1790717478
LBN Legal business name Johnston, Richard Leake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790717478 NPPES
Mississippi MEDICAID 04604768

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