Individual
CHARLES C. SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST, SUITE 526, NEW ORLEANS, LA 70115-3500
(504) 648-2500
(504) 897-2064
Mailing address
3525 PRYTANIA ST, SUITE 526, NEW ORLEANS, LA 70115-3500
(504) 648-2500
(504) 897-2064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
06470R
LA
207RP1001X
Pulmonary Disease Physician
Primary
06470R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385875
—
LA
Enumeration date
05/15/2006
Last updated
08/08/2017
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