Charles Balette, M.D.
Family Medicine in Covington, LA. Individual provider (NPI-1).
NPI number1851358816
StatusActive
Last updated in NPPESJun 28, 2018
Details
- NPI
- 1851358816
- Entity type
- Individual (NPI-1)
- Name
- Charles Balette
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Jun 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 12664R | LA | Yes |
Practice location
1119 S Tyler StCovington, LA 70433
Phone 985-875-9166 · Fax 985-875-9170
Mailing address
1417 Stillwater DrMandeville, LA 70471-7452
Phone 985-875-9166 · Fax 985-875-9170
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