Individual
DR. CHARLES REMIE VIDRINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FAMILY MEDICINE ASSOCIATES OF OAKDALE, 105 N HOSPITAL DRIVE, OAKDALE, LA 71463-3034
(318) 335-4321
(318) 335-4908
Mailing address
FAMILY MEDICINE ASSOCIATES OF OAKDALE, 105 N HOSPITAL DRIVE, OAKDALE, LA 71463-3034
(318) 335-4321
(318) 335-4908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
321213
LA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
321216
LA
208M00000X
Hospitalist Physician
321216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150316
—
LA
Enumeration date
04/10/2018
Last updated
04/12/2024
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