Organization
CHARLES F MOTLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F MOTLEY M.D. (PC)
(219) 872-7247
Entity
Organization
Contact information
Practice address
6916 W JOHNSON RD, LA PORTE, IN 46350-6548
(219) 872-7247
(219) 879-8609
Mailing address
6916 W JOHNSON RD, LA PORTE, IN 46350-6548
(219) 872-7247
(219) 879-8609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163900A
—
IN
Enumeration date
03/20/2013
Last updated
09/24/2013
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