Individual
DR. CHARL FREDERICK DU TOIT CERONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 446-4534
Mailing address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 446-4534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306803
LA
Other
Enumeration date
04/09/2014
Last updated
07/21/2022
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