Individual
CHARLES A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LAMB CIR, SUITE 302, CHRISTIANSBURG, VA 24073-6344
(540) 731-7600
(540) 639-5400
Mailing address
2900 LAMB CIR, SUITE 302, CHRISTIANSBURG, VA 24073-6344
(540) 731-7600
(540) 639-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101038732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005821268
AETNA
—
01
—
010271894
VIRGINIA PREMIER
VA
05
—
010271894
—
VA
01
—
186284
ANTHEM (BCBS)
VA
01
—
203230510
VIRGINIA HEALTH NETWORK
VA
01
—
203230510
CHAMPUS/TRICARE NON-NETWO
—
01
—
412506
SOUTHERN HEALTH
—
01
—
8746021
CIGNA
—
01
—
P00293922
RAILROAD MEDICARE
—
Enumeration date
06/13/2005
Last updated
02/18/2011
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