Healthcare Provider Details

I. General information

NPI: 1831190800
Provider Name (Legal Business Name): CHARLES D MAGNANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BREMO RD VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND VA
23226-1907
US

IV. Provider business mailing address

12184 OLD RIDGE RD
DOSWELL VA
23047-2215
US

V. Phone/Fax

Practice location:
  • Phone: 804-287-7066
  • Fax: 804-673-9531
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101033356
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: