Charla V Johnson PA-C

NPI 1033218581 - Internal Medicine - 207R00000X

NPI Details
NPI 1033218581
Gender Female
Enumeration Date 09/21/2006
Last Updated 05/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
830 EAGLES LANDING PKWY
STE 102
STOCKBRIDGE GA, 30281-7366, US
Phone (770) 389-0000
Fax (770) 461-2617
Business Location
4380 GEORGETOWN SQ
STE 1002
ATLANTA GA, 30338-6254, US
Phone (770) 220-8434
Fax (770) 234-9979
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 003556
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According to our database, Charla V Johnson PA-C NPI is 1033218581, taxonomy code is 207R00000X and license number is 003556, license state is located at Georgia. Charla V Johnson PA-C physically located at 830 Eagles Landing Pkwy, Stockbridge GA, 30281-7366. NPI Number Charla V Johnson PA-C has the Individual type.

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1033218581 NPI number is provided on an as is basis without warranty of any kind. 1033218581 is maintained by the National Plan & Provider Enumeration System. The contents of Charla V Johnson PA-C are for informational purposes only.