Individual
DR. CHARLES DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 SAGE RD, SUITE #100, CHAPEL HILL, NC 27514-6995
(919) 942-4173
Mailing address
205 SAGE RD, SUITE #100, CHAPEL HILL, NC 27514-6995
(919) 942-4173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006-00553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910399
—
NC
Enumeration date
04/28/2008
Last updated
06/15/2012
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