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1437538410
CHARLES DAVID JOHNSON
HATTIESBURG, MS
NPI
1437538410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS R875364)
Enumeration Date
2015-05-24
Last Update Date
2023-07-28
Business Address
CHARLES DAVID JOHNSON AGACNP
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401-7200
Phone number: 601-288-7000
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Mailing Address
CHARLES DAVID JOHNSON AGACNP
15 PROFESSIONAL PKWY STE 126
HATTIESBURG, MS 39402-2647
Phone number: 601-450-0521
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