Organization
CHARLES A RAUGH DPM PC
Active
Other names
Farragut Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALAN RAUGH DPM (OWNER PRACTITIONER)
(202) 628-2230
Entity
Organization
Contact information
Practice address
1800 I ST NW, SUITE 503B, WASHINGTON, DC 20006-5407
(202) 628-2230
Mailing address
1800 I ST NW, SUITE 503B, WASHINGTON, DC 20006-5407
(202) 628-2230
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO347
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066651
ANTHEM BCBS OF VIRGINIA
—
Enumeration date
10/05/2006
Last updated
07/26/2007
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