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NPI Code Detail

MEDICARE: DR. CHARLES R JOSEPH

MEDICARE: DR. CHARLES R JOSEPH
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
12084N0400XNeurology Physician0101031985VA

General Provider Information

NPI Number : 1972520476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES R JOSEPH
Provider Business Mailing Address
First Line : 1933 THOMSON DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1008
Country : US
Telephone Number : 434-947-3928
Fax Number : 434-947-3982
Provider Business Practice Location Address
First Line : 1933 THOMSON DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1008
Country : US
Telephone Number : 434-947-3928
Fax Number : 434-947-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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