Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES EDWARD SELF, PA-C
ActiveMR. CHARLES EDWARD SELF, PA-C is a Medical Physician Assistant healthcare provider located in MINDEN, Louisiana. NPI 1497741995 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MINDEN, LA
Registration Details
- NPI Number
- 1497741995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.942224279309 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PA.A10425.RX (LA)
Practice Information
- Address
-
1111 HOMER RDMINDEN, LA, 710553027Browse LA providers · Browse ZIP 71055
- Phone
- 3183777500
- Fax
- 3183772324
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.