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Organization

CHARLES R. JOHNSON MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIGNON A WILLIS (BUSINESS COORDINATOR)
(619) 267-4255
Entity
Organization

Contact information

Practice address
2400 E 8TH ST, STE A, NATIONAL CITY, CA 91950
(619) 267-4255
(619) 267-7937
Mailing address
PO BOX 15160, SAN DIEGO, CA 92175-5160
(619) 267-4255
(619) 267-7937

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/03/2006
Last updated
04/11/2008
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