Individual
DR. JENNIFER EISENMENGER CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-2300
Mailing address
208 CARTERS GROVE LN, LYNCHBURG, VA 24503-2125
(434) 258-5451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101221476
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005715211
—
VA
01
—
050068298
RAILROAD MEDICARE
—
01
—
214243
ANTHEM BLUE CROSS BLUE SH
—
Enumeration date
04/22/2006
Last updated
10/13/2022
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