# C&M MEDICAL SERVICES-ST CHARLES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407148133
- **Authorized official:** CRIS MANDRY (PRESIDENT)
- **Authorized official phone:** (504) 833-7770

## Contact information

- **Practice address:** 1057 PAUL MAILLARD RD, LULING, LA 70070-4349
- **Practice address phone:** (985) 785-6242
- **Mailing address:** 3223 8TH ST, SUITE 300, METAIRIE, LA 70002-1623
- **Mailing address phone:** (504) 833-7770
- **Mailing address fax:** (504) 833-4025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 017058 | LA | Yes |

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 05/13/2011