Individual
CHAR'TARIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2215 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6322
(504) 838-3524
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333750
LA
363A00000X
Physician Assistant
64500
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/17/2022
Last updated
10/07/2024
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