Charles G. Cloutier, M.d., P.c. | |
461 E Main St Prattville AL 36067-3409 | |
(334) 351-2040 | |
(334) 351-2047 |
Full Name | Charles G. Cloutier, M.d., P.c. |
---|---|
Speciality | Family Medicine |
Location | 461 E Main St, Prattville, Alabama |
Authorized Official Name and Position | Dianne Boyd (BILLING MANAGER) |
Authorized Official Contact | 3343512040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles G. Cloutier, M.d., P.c. Po Box 681270 Prattville AL 36068-1270 Ph: (334) 351-2040 | Charles G. Cloutier, M.d., P.c. 461 E Main St Prattville AL 36067-3409 Ph: (334) 351-2040 |
NPI Number | 1568641454 |
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Provider Enumeration Date | 10/29/2007 |
Last Update Date | 11/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568641454 | NPI | - | NPPES |
P00126668 | Other | AL | RAILROAD MEDICARE-IND. |
DB7667 | Other | AL | RAILROAD MEDICARE-GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10751 (Alabama) | Primary |
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