Individual
DR. CHARLES L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98 BROAD ST. SW, ATLANTA, GA 30303
(404) 688-7574
(404) 688-7578
Mailing address
98 BROAD ST. SW, ATLANTA, GA 30303
(404) 688-7574
(404) 688-7578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07441
GA
Other
Enumeration date
05/01/2007
Last updated
07/09/2007
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