Individual
CHARLIE STEPHEN VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 CAMELOT DR, SUITE 200, VIRGINIA BEACH, VA 23454-2440
(757) 491-7337
(757) 275-9892
Mailing address
2948 BREEZY RD, VIRGINIA BEACH, VA 23451-1509
(757) 496-9065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010137691
VA
Other
Enumeration date
01/04/2006
Last updated
10/06/2011
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