CHARLES JOHNSON

JACKSONVILLE, FL
NPI1609187517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: FL  ME110710)
Enumeration Date2010-06-24
Last Update Date2018-03-17
Business Address
DR. CHARLES JOHNSON M.D.
554 KEILY STREET
JACKSONVILLE, FL 32212
Phone number: 757-953-7550
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