Organization
CHARLIE INTERNAL MEDICINE GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY REED CHARLIE DO (PRESIDENT)
(601) 549-1735
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR STE 205, LAFAYETTE, LA 70503-2852
(601) 549-1735
Mailing address
716 GENDARME RD, CARENCRO, LA 70520-5105
(601) 549-1735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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