Individual
DR. MARK BARTON CHARBONNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 N LEWIS ST, SUITE 600, NEW IBERIA, LA 70563-2093
(337) 560-5510
(337) 560-5554
Mailing address
PO BOX 12109, NEW IBERIA, LA 70562-2109
(337) 560-5510
(337) 560-5554
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
023042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490601
—
LA
Enumeration date
07/26/2006
Last updated
01/21/2022
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