SearchLouisiana101YM0800X

Charles Johnson

NPI 1265976047 · on the registry since 2016 · sole proprietor

Practice

Address
1320 Harvard Ave
Shreveport, LA 71103
Phone
(318) 294-1654

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2016-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana