Individual
DR. CHARLENE OZANNE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3305 N LIESURE WORLD BLVD, SILVER SPRING, MD 20906
(301) 598-1590
(301) 598-1569
Mailing address
7125 BANJO COURT, COLUMBIA, MD 21045
(301) 598-1590
(301) 598-1569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D43202
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640700500
—
MD
Enumeration date
09/28/2006
Last updated
10/22/2012
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