IndividualActive
Charles Moore, M.D.
NPI 1417319807 · Otolaryngology Physician · New Iberia, LA
Provider details
- NPI number
- 1417319807
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 57.028402 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2308 E Main St Ste B
New Iberia, LA 70560-4029
Phone: (337) 369-3683
Approximate (ZIP-level) locationGet directions
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Registry dates
- Enumerated
- 2016-03-24
- Last updated
- 2024-03-28
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.