Healthcare Provider Details
I. General information
NPI: 1225025471
Provider Name (Legal Business Name): CARL W. SCHERER III, MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2005
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
59355 RIVER WEST DR
PLAQUEMINE LA
70764-6553
US
IV. Provider business mailing address
PO BOX 52069
LAFAYETTE LA
70505-2069
US
V. Phone/Fax
- Phone: 337-261-5151
- Fax:
- Phone: 337-261-5151
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CARL
W.
SCHERER
III
Title or Position: OWNER/MD
Credential: MD
Phone: 337-261-5151