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CHARLES SCOTT MCENROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 SOUTH BLDG, 397 LITTLE NECK RD STE 100, VA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BLDG, SUITE 100, VIGINIA BEACH, VA 23452
(757) 470-5570
(757) 227-3377

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101043739
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007358105
VA
01
020033755
MEDICARE RAILROAD
Enumeration date
02/03/2006
Last updated
11/15/2007
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