Individual
CHARLES BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 VICAR PL, DANVILLE, VA 24540-1240
(434) 836-2100
(434) 836-0021
Mailing address
100 VICAR PL, DANVILLE, VA 24540-1240
(434) 836-2100
(434) 836-0021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-035274
VA
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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