MR. CHARLES SELF, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1497741995
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA.A10425.RX (LA) |
Frequently Asked Questions
NPI 1497741995 is the National Provider Identifier for MR. CHARLES SELF, PA-C, a Physician Assistant - Medical provider located in Minden, LA. This NPI was enumerated on September 21, 2005.
MR. CHARLES SELF, PA-C practices at 1111 HOMER RD, Minden, LA 71055.
Quick Facts
- NPI
- 1497741995
- Type
- Individual
- Enumerated
- Sep 21, 2005
- Last Updated
- Jul 9, 2007
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