# CHARLIE INTERNAL MEDICINE GROUP INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649837519
- **Authorized official:** DR. EMILY REED CHARLIE DO (PRESIDENT)
- **Authorized official phone:** (601) 549-1735

## Contact information

- **Practice address:** 155 HOSPITAL DR STE 205, LAFAYETTE, LA 70503-2852
- **Practice address phone:** (601) 549-1735
- **Mailing address:** 716 GENDARME RD, CARENCRO, LA 70520-5105
- **Mailing address phone:** (601) 549-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019