Individual
CHARLES SEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 PROFESSIONAL CIR, WILLIAMSBURG, VA 23185-3374
(757) 345-6491
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037118
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080086985
RR/MEDICARE
—
01
—
179597
ANTHEM
VA
05
—
5617162
—
VA
Enumeration date
07/28/2005
Last updated
12/02/2019
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