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Organization
CHARLES J ASWELL III MD A PROF MEDICAL CORP
Active
Organization
CHARLES J ASWELL III MD A PROF MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JESSE ASWELL III MD (OWNER)
(337) 363-7474
Entity
Organization
Contact information
Practice address
503 JACK MILLER ROAD, STE A, VILLE PLATTE, LA 70586
(337) 363-7474
(337) 363-1197
Mailing address
503 JACK MILLER ROAD, STE A, VILLE PLATTE, LA 70586
(337) 363-7474
(337) 363-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
12/07/2010
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