Individual
CHARLES W MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1464 MOUNT PLEASANT RD, SUITE 16 #502, CHESAPEAKE, VA 23322-4043
(757) 410-4580
(757) 410-4591
Mailing address
1464 MOUNT PLEASANT RD, SUITES 13 AND 14, CHESAPEAKE, VA 23322-4043
(757) 410-4580
(757) 410-4591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035436
VA
207R00000X
Internal Medicine Physician
0101035436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5876150
—
VA
Enumeration date
08/10/2006
Last updated
12/08/2010
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