Individual
CHARLES A CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 SUNNYBROOK ROAD, RALEIGH, NC 27610
(919) 212-0129
Mailing address
508 FULTON STREET, DURHAM, NC 27705-3875
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9801214
NC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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