Organization
CHARLES C JOHNSON DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOHNSON DO (PHYSICIAN / OWNER)
(859) 806-1598
Entity
Organization
Contact information
Practice address
3141 BEAUMONT CENTRE CIR STE 103, LEXINGTON, KY 40513-1934
(859) 523-0058
Mailing address
3141 BEAUMONT CENTRE CIR STE 103, LEXINGTON, KY 40513-1934
(859) 523-0058
(859) 309-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
09/25/2023
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