Individual
CHARLES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COLONIAL DR, BATON ROUGE, LA 70806-6506
(225) 926-9706
Mailing address
411 COLONIAL DR, BATON ROUGE, LA 70806-6506
(225) 926-9706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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