Individual
CHARLES GROSECLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13198 JAMES MADISON HWY, ORANGE, VA 22960-2808
(540) 672-3010
Mailing address
13198 JAMES MADISON HWY, ORANGE, VA 22960-2851
(540) 672-3010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101269031
VA
Other
Enumeration date
04/24/2017
Last updated
04/07/2025
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