Individual
JOHN HALL CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7049
(703) 295-9369
Mailing address
68 S. SERVICE RD., STE 350, MELVILLE, NY 11747-2358
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101054929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020717F89
MEDICARE
DC
05
—
1487754990
—
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
CARE FIRST 2005
VA
01
—
P00411988
PALMETTO RAILROAD
VA
Enumeration date
09/24/2006
Last updated
04/23/2015
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