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Individual

MR. CHARLES N NWAOKOCHA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
412 DURANT ST, SOUTH HILL, VA 23970-1614
(434) 447-2898
Mailing address
PO BOX 246, SOUTH HILL, VA 23970-0246
(434) 447-2898
(434) 447-3456

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237649
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178946
BLUE CROSS
VA
Enumeration date
08/03/2005
Last updated
07/08/2007
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