Individual
CHARLES DAVID JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 327-4000
Mailing address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 327-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10581
LA
Other
Enumeration date
05/11/2009
Last updated
05/08/2025
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