Individual
DR. CHARLES HUNTER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70073-2400
(504) 391-7337
(504) 398-7213
Mailing address
PO BOX 2400, MARRERO, LA 70073-2400
(504) 391-7337
(504) 398-7213
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
013740
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300721
—
LA
Enumeration date
08/09/2005
Last updated
11/07/2012
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