Individual
DR. CHARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2945 STONE HOGAN CONNECTOR RD SW, SUITE 201, ATLANTA, GA 30331-2835
(404) 349-6758
(404) 349-6759
Mailing address
495 VIRGINIA HIGHLANDS, FAYETTEVILLE, GA 30215-8233
(770) 460-6459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049655
GA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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