Individual
DR. CHARLES P MAINE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 ANDERSON HOLLOW RD, NORTON, VA 24273-1100
(276) 679-5880
(276) 679-9156
Mailing address
340 ANDERSON HOLLOW RD, NORTON, VA 24273-1100
(276) 679-5880
(276) 679-9156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101031324
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101031324
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101031324
VA
Other
Enumeration date
01/27/2006
Last updated
03/10/2008
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