Individual
DR. CHARLES W. NELSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 FOREST AVE, SUITE 200, RICHMOND, VA 23230-1726
(804) 288-3123
(804) 288-6591
Mailing address
7001 FOREST AVE, SUITE 200, RICHMOND, VA 23230-1726
(804) 288-3123
(804) 288-6591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101043876
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101043876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006023461
—
VA
01
—
060020413
RAILROAD MEDICARE
VA
01
—
1436050
CIGNA
VA
01
—
417753
UNITED HEALTHCARE
VA
01
—
535897
AETNA
VA
01
—
C09462
GROUP PTAN
VA
Enumeration date
07/13/2006
Last updated
03/25/2025
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