Individual
CHARLES WAYNE CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
(318) 746-2808
Mailing address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
(318) 746-2808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.000118
LA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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