Organization · Type 2 NPI

Charlene Johnson MD LLC

Medical Specialty Clinic/Center · Atlanta, GA

NPI number 1558525071 Active

Practice location

2945 Stone Hogan Rd, Suite 201
Atlanta, GA 30331-2835

Mailing address

1415 Highway 85 N, Suite 310-246
Fayetteville, GA 30214-4035

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1558525071

Charlene Johnson MD LLC's National Provider Identifier is 1558525071, issued on Jul 14, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Atlanta, GA. The record was last updated on Jul 14, 2008.