Individual
MR. CHARLES STUART LOCKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4226
(984) 974-1000
Mailing address
201 OAK TREE DR, CHAPEL HILL, NC 27517-4065
(252) 904-4661
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0010-08811
NC
363A00000X
Physician Assistant
Primary
0010-08811
NC
Other
Enumeration date
01/29/2019
Last updated
02/12/2021
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