CHARLES DAVID JOHNSON

MONROE, LA
NPI1568696177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10581)
Enumeration Date2009-05-11
Last Update Date2009-05-11
Business Address
-- CHARLES DAVID JOHNSON
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4000
Mailing Address
-- CHARLES DAVID JOHNSON
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4000