Organization
CHARLES A. MCINTOSH III, MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MCINTOSH III MD (PRESIDENT/OWNER)
(318) 410-0002
Entity
Organization
Contact information
Practice address
2408 BROADMOOR BLVD, MONROE, LA 71201-2963
(318) 410-0002
Mailing address
PO BOX 11407 DEPT 1564, BIRMINGHAM, AL 35246-0001
(601) 936-0628
(601) 936-0686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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