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Organization

CHARLES J. MONIER, JR., MD, LLC

Active
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Organization

CHARLES J. MONIER, JR., MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CELESTE PONVELLE (ADMINISTRATOR)
(985) 446-1200
Entity
Organization

Contact information

Practice address
602 N ACADIA RD, SUITE 101, THIBODAUX, LA 70301-4847
(985) 446-1200
Mailing address
PO BOX 1178, THIBODAUX, LA 70302-1178
(800) 639-2519

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2900051
UNITED HEALTHCARE
LA
01
4552584
AETNA
LA
01
DD942
RAILROAD MEDICARE
LA
Enumeration date
01/23/2007
Last updated
08/22/2020
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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