Individual
MR. CHARLES M JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3824 NE EVANGELINE TRWY, CARENCRO, LA 70520-5966
(337) 565-2675
(337) 565-2676
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 565-2675
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
A30094
LA
363A00000X
Physician Assistant
Primary
PA.A10372
LA
Other
Enumeration date
07/25/2006
Last updated
04/02/2026
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