MEDICARE: CHARLENE DENISE DARROW MD

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
1	207Q00000X	Family Medicine Physician	G0986	TX

General Provider Information

NPI Number	:	1497732036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE DENISE DARROW MD

Provider Business Mailing Address
First Line	:	1605 SPRINGWATER CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1455
Country	:	US
Telephone Number	:	757-416-9477
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 LYNNHAVEN PKWY
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1492
Country	:	US
Telephone Number	:	757-314-8906
Fax Number	:	757-314-8919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2005
Last Update Date	:	07/08/2007

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