Individual
CHARLES BARRETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(800) 841-4236
Mailing address
PO BOX 60962, NEW ORLEANS, LA 70160-0962
(800) 841-4236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
207735
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02208350
—
MS
05
—
1883484
—
LA
Enumeration date
03/20/2009
Last updated
02/01/2016
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