Individual
CHARLIE HAYWOOD BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
07141R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0691769
AETNA
LA
01
—
110019921
MEDICARE RAILROAD
LA
05
—
1370339
—
LA
01
—
1900032
UNITED HEALTHCARE
LA
Enumeration date
07/11/2006
Last updated
02/17/2010
Update your record
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