Individual
DR. TAMELA L CHARBONNET
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Mailing address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
023735
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441953
—
LA
05
—
1484768
—
LA
Enumeration date
07/01/2005
Last updated
07/09/2007
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