# MR. CHARLES JEFFREY MYERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245285949
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01053447A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 9801415 | NC | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 01/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000848856 | ANTHEM PIN NUMBER | IN |
| 01 | — | 14517 | BCBS | NC |
| 05 | — | 200328930 | — | IN |
| 05 | — | 5907266 | — | NC |