Individual
DR. CHARLES E. DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 MEMORIAL AVE, SUITE 10, LYNCHBURG, VA 24501-2661
(434) 947-5200
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101224139
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101224139
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056-4239-6
—
VA
05
—
005644011
—
VA
01
—
01-02054
UNITED HEALTHCARE PROVIDE
—
01
—
216430
ANTHEM PROVIDER NUMBER
—
01
—
248773
SOUTHERN HEALTH PROVIDER
—
01
—
41816
SENTARA/OPTIMA PROVIDER N
—
01
—
541457983
TRICARE PROVIDER NUMBER
—
01
—
56-4401-1
VA PREMIER PROVIDER NUMBE
—
01
—
9035997
CIGNA PROVIDER NUMBER
—
01
—
93672
MEDCOST PROVIDER NUMBER
—
Enumeration date
07/13/2005
Last updated
04/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us