Individual
SANDRA R CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2710
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.208222
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2340816
—
LA
Enumeration date
03/20/2013
Last updated
07/07/2016
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