Individual
CHARLES K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2025 E MAIN ST, SUITE 105, RICHMOND, VA 23223-7069
(804) 253-1997
(804) 253-1979
Mailing address
2025 E MAIN ST, SUITE 7, RICHMOND, VA 23223-7069
(804) 591-2890
(804) 591-2896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840813
VA
Other
Enumeration date
01/19/2006
Last updated
02/23/2011
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