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Individual

CHESTER CHATTIN COLES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5937 GOODWOOD AVE, BATON ROUGE, LA 70806-7308
(225) 928-8600
Mailing address
5937 GOODWOOD AVE, BATON ROUGE, LA 70806-7308
(225) 928-8600

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012263
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1170950
LA
Enumeration date
10/17/2006
Last updated
03/16/2011
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