Healthcare Provider Details

I. General information

NPI: 1285024117
Provider Name (Legal Business Name): CHARLES T MCBETH PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ST PAUL DR
CHAMBERSBURG PA
17201-1036
US

IV. Provider business mailing address

410 LANTERN LN
CHAMBERSBURG PA
17201-3225
US

V. Phone/Fax

Practice location:
  • Phone: 717-264-6511
  • Fax: 717-264-1081
Mailing address:
  • Phone: 717-357-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA057445
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: