Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | MD460323 | PA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 310675 | LA |
NPI | 1750671996 |
---|---|
Provider Name | Dr. Charles Thompson Tuggle III |
First Address | New Orleans, LA 70112-2865 |
Second Address | New Orleans, LA 70112-2865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 12/04/2019 |