Doctor Name: | CHARLES FENNER SALE |
NPI Number: | 1174551055 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 014790 |
Business Practice Address: | 8001 Youree Dr Suite 300 Shreveport, LA - 711152302 |
Business Phone Number: | 3182123800 |
Business Fax Number: | 3182123895 |
Mailing Address: | 8001 Youree Dr, Suite 300 SHREVEPORT |
State: | LA |
Postal Code: | 711152302 |
Phone Number: | 3182123800 |
Fax Number: | 3182123895 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 014790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |