Individual
CHARLES LITTLEBURG BALTIMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
639 W 15TH ST, WASHINGTON, NC 27889-3526
(252) 946-2171
(252) 946-5986
Mailing address
639 W 15TH ST, WASHINGTON, NC 27889-3526
(252) 946-2171
(252) 946-5986
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12914
BLUE CROSS BLUE SHIELD NC
NC
05
—
8912914
—
NC
Enumeration date
07/05/2006
Last updated
04/02/2008
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