Individual
REBECCA CAROLYN CHARNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3430 WORTHINGTON BLVD, FREDERICK, MD 21704-7017
(240) 215-6310
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10449
NC
363A00000X
Physician Assistant
Primary
C0007559
MD
Other
Enumeration date
02/03/2020
Last updated
11/16/2021
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