Individual
MR. CHARLES THOMAS JOHNSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1607 W FAUST ST, MARION, IL 62959-1115
(618) 925-1098
Mailing address
1607 W FAUST ST, MARION, IL 62959-1115
(618) 925-1098
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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