Individual
CHARLOTTE ANNE VELLENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11551 NUCKOLS RD STE F, GLEN ALLEN, VA 23059-5565
(804) 364-4400
(803) 364-0120
Mailing address
11551 NUCKOLS RD STE F, GLEN ALLEN, VA 23059-5565
(804) 364-4400
(803) 364-0120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101262311
VA
208000000X
Pediatrics Physician
LL36994
SC
Other
Enumeration date
06/12/2014
Last updated
06/04/2020
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