Individual
DR. STEPHEN M CHARBONNET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 SCHOOL ST, HOUMA, LA 70360-4630
(985) 868-4320
(985) 868-3617
Mailing address
1020 SCHOOL ST, HOUMA, LA 70360-4630
(985) 868-4320
(985) 868-3617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14884
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150673
—
LA
Enumeration date
01/16/2006
Last updated
07/08/2007
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