Individual
DR. CHARLES D BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LAMB CIR, SUITE 300, CHRISTIANSBURG, VA 24073-6344
(540) 639-5900
(540) 639-0976
Mailing address
1660 TURNBERRY LN, RINER, VA 24149-2571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101-230481
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010005914
—
VA
05
—
010005931
—
VA
05
—
010372411
—
VA
05
—
10005906
—
VA
Enumeration date
11/10/2005
Last updated
08/11/2011
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