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Individual

DR. CHARLES RAY PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-6539
Mailing address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-6539

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.012218
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1158364
LA
01
P00936767
RRMCARE THRU GPN MANY
LA
Enumeration date
06/02/2006
Last updated
09/16/2011
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