TAMELA L MARCA CHARBONNET MD/LEE H GRAFTON MD NPI 1962501726

NPI Information

NPI: 1962501726
Provider Name: TAMELA L MARCA CHARBONNET MD/LEE H GRAFTON MD
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address: GRAFTON DERM AND COSMETIC SURGERY
327 BAYOU GARDENS BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 876-5000

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NPI Details

TAMELA L MARCA CHARBONNET MD/LEE H GRAFTON MD is a non pharmacy dispensing site in Houma, LA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) TAMELA L MARCA CHARBONNET MD/LEE H GRAFTON MD NPI is 1962501726. The provider is registered as an organization entity type.

The provider's business location address is:

GRAFTON DERM AND COSMETIC SURGERY
327 BAYOU GARDENS BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 876-5000
Fax: (985) 876-5280

The provider's authorized official is Ann Bourgedis .
The authorized official title is Office Manager and has the following contact phone number (985) 876-5000.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site		023735	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1932412	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	1441953	MEDICAID	LOUISIANA
3	1484768	MEDICAID	LOUISIANA
4	1687421	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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