Individual
DR. CHARLES CAMERON TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 MICHAEL FARADAY DRIVE, SUITE 204, RESTON, VA 20190-5330
(703) 437-5575
(703) 435-1704
Mailing address
1810 MICHAEL FARADAY DRIVE, SUITE 204, RESTON, VA 20190-5330
(703) 437-5575
(703) 435-1704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101031745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076151
ANTHEM BCBS
—
Enumeration date
08/29/2007
Last updated
08/29/2007
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