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NPI Code Detail

MEDICARE: CHARLES E JOHNSON M.D.

MEDICARE: CHARLES E JOHNSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician12513AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285675835
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES E JOHNSON M.D.
Provider Business Mailing Address
First Line : 6701 AIRPORT BLVD STE A101
Second Line :
City : MOBILE
State : AL
Zip : 36608-6767
Country : US
Telephone Number : 251-639-2101
Fax Number : 251-660-3510
Provider Business Practice Location Address
First Line : 6701 AIRPORT BLVD STE A101
Second Line :
City : MOBILE
State : AL
Zip : 36608-6767
Country : US
Telephone Number : 251-639-2101
Fax Number : 251-660-3510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/13/2023

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Directions to “ CHARLES E JOHNSON M.D.” Practice Location

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