Individual
CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 GEORGIA AVE SE STE 213, ATLANTA, GA 30312-3000
(510) 688-2166
Mailing address
50 MOUNT ZION RD SW APT Y40, ATLANTA, GA 30354-2397
(510) 688-2166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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