Individual
DR. CHARLES R. CLEGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
225 LOUDOUN ST SE, LEESBURG, VA 20175-3115
(703) 777-8884
Mailing address
PO BOX 144, LINCOLN, VA 20160-0144
(540) 338-2994
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
0104000216
VA
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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