Individual
CHARITY MARCY WERTZ THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 265, RICHMOND, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
10800 MIDLOTHIAN TPKE, SUITE 265, RICHMOND, VA 23235-4724
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101037063
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005721164
—
VA
01
—
42161
CARENET
VA
Enumeration date
06/13/2005
Last updated
10/26/2010
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