Individual
KARL MATTHEW NETTLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7520 PERKINS RD, BATON ROUGE, LA 70808-9111
(225) 769-6700
(225) 768-7608
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M9538
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD.207260
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026378
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
09/01/2023
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