CHARLES WAYNE CULPEPPER

BOSSIER CITY, LA
NPI1033375795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.000118)
Enumeration Date2008-08-01
Last Update Date2008-08-01
Business Address
-- CHARLES WAYNE CULPEPPER PA
1518 DOCTORS DR
BOSSIER CITY, LA 71111-3322
Phone number: 318-746-1094
Mailing Address
-- CHARLES WAYNE CULPEPPER PA
1518 DOCTORS DR
BOSSIER CITY, LA 71111-3322
Phone number: 318-746-1094