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Organization

CANNERCHARLES PLLC

Active
Other names
Lighthouse Medical Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EMILY KRAUTER (BILLING MANAGER)
(757) 523-0022
Entity
Organization

Contact information

Practice address
1129 COROLLA VILLAGE RD C, COROLLA, NC 27927
(252) 597-1157
(833) 972-1688
Mailing address
1201 LAKE JAMES DR STE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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