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NPI Code Detail

MEDICARE: DR. LEI S CHARLTON M.D.

MEDICARE: DR. LEI S CHARLTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101036378VA

General Provider Information

NPI Number : 1427146133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEI S CHARLTON M.D.
Provider Business Mailing Address
First Line : 5000 MONUMENT AVE STE 103
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3627
Country : US
Telephone Number : 804-649-1277
Fax Number : 804-649-1026
Provider Business Practice Location Address
First Line : 5000 MONUMENT AVE STE 103
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3627
Country : US
Telephone Number : 804-649-1277
Fax Number : 804-649-1026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 04/10/2019

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Directions to “ DR. LEI S CHARLTON M.D.” Practice Location

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