CHARLES M JOHNSON

CARENCRO, LA
NPI1114940087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.A10372)
Additional Taxonomies363A00000X Physician Assistant
(Licence: LA  A30094)
Enumeration Date2006-07-25
Last Update Date2026-04-02
Business Address
Mr. CHARLES M JOHNSON PA-C
3824 NE EVANGELINE TRWY
CARENCRO, LA 70520-5966
Phone number: 337-565-2675
Mailing Address
Mr. CHARLES M JOHNSON PA-C
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 337-565-2675
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