Individual
CHARLES JOSEPH DEVINE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
434 WASHINGTON ST., BOYDTON, VA 23917
(434) 738-6815
(434) 738-6295
Mailing address
434 WASHINGTON ST., PO BOX 560, BOYDTON, VA 23917
(434) 738-6815
(434) 738-6295
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101034518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5811007
—
VA
Enumeration date
02/15/2007
Last updated
07/08/2007
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