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Individual

DR. CHARLES HENRY ANDERTON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
855 WASHINGTON STREET, SUITE 204, RALEIGH, NC 27605-3270
(919) 821-4900
Mailing address
855 WASHINGTON STREET, SUITE 204, RALEIGH, NC 27605-3270
(919) 821-4900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1231
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03185
BLUE CROSS BLUE SHIELD
NC
01
34727
NATL REGISTER OF HEALTH
Enumeration date
02/28/2006
Last updated
07/08/2007
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