Individual
DR. CHARLES ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1000, BATON ROUGE, LA 70808-4300
(225) 767-3900
(225) 766-2226
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200195
LA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
200195
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01286281
—
MS
05
—
1184926
—
LA
01
—
293470
WELLCARE
LA
01
—
P00260939
PALMETTO GBA
LA
Enumeration date
06/14/2005
Last updated
04/13/2021
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