Individual
DR. CHARLES BENNY LOVELADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
390 S MAIN ST STE 302, ROCKY MOUNT, VA 24151-1766
(540) 489-6348
(540) 489-6595
Mailing address
1088 MIRIAM HILL DR, ROCKY MOUNT, VA 24151-5967
(540) 489-6348
(540) 489-6595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
101243927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112843
—
AL
01
—
51049416
BLUE CROSS
AL
Enumeration date
07/26/2006
Last updated
03/17/2018
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