| 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 |
|---|---|
| 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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