Individual
CHARLES E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE A101, MOBILE, AL 36608-6767
(251) 639-2101
(251) 660-3510
Mailing address
6701 AIRPORT BLVD STE A101, MOBILE, AL 36608-6767
(251) 639-2101
(251) 660-3510
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12513
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051507731
—
AL
Enumeration date
06/08/2006
Last updated
01/13/2023
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