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Individual
DR. JOHN L CHARLTON III
Active
Individual
DR. JOHN L CHARLTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01077
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090608500
—
MD
01
—
0974140002
ADMINISTER FED
—
01
—
52069802
BCBS
MD
01
—
T304JL
BS
MD
Enumeration date
09/16/2006
Last updated
08/30/2010
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