Individual
DR. CHARLES JESSE ASWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 JACK MILLER RD, # A, VILLE PLATTE, LA 70586-5627
(337) 363-7474
(337) 363-1197
Mailing address
503 JACK MILLER RD, # A, VILLE PLATTE, LA 70586-5627
(337) 363-7474
(337) 363-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013360
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188531
—
LA
01
—
50313
MEDICARE ID (UNSPECIFIED)
LA
Enumeration date
05/26/2006
Last updated
03/18/2015
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