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Individual

DR. CHARLES MAURICE DILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 RIVERVIEW AVE STE 501, NORFOLK, VA 23510-1065
(757) 668-9915
(757) 668-9925
Mailing address
301 RIVERVIEW AVE STE 501, NORFOLK, VA 23510-1065
(757) 668-9915
(757) 668-9925

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101243629
VA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
0101243629
VA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
0101243629
VA

Other

Enumeration date
05/18/2007
Last updated
09/24/2024
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