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Individual

DR. CHARLES COLLINS ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2621 GROVE AVE, EMERGENCY DEPARTMENT, RICHMOND, VA 23220-4308
(804) 254-5433
Mailing address
106 ANDERSON TRL, FARMVILLE, VA 23901-4142
(434) 392-5846
(434) 315-0229

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101026246
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005868858
VA
05
005868866
VA
05
005868874
VA
05
005868882
VA
05
005869943
VA
05
1477581643
VA
Enumeration date
06/28/2006
Last updated
02/24/2011
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