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1609187517
CHARLES JOHNSON
JACKSONVILLE, FL
NPI
1609187517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: FL ME110710)
Enumeration Date
2010-06-24
Last Update Date
2018-03-17
Business Address
DR. CHARLES JOHNSON M.D.
554 KEILY STREET
JACKSONVILLE, FL 32212
Phone number: 757-953-7550
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Mailing Address
DR. CHARLES JOHNSON M.D.
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE
JACKSONVILLE, FL 32212
Phone number: 757-953-7550
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