Individual
CHARLES ESHEL STITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
23 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 668-2200
(757) 668-2222
Mailing address
23 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 668-2200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0001267153
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024181317
VA
Other
Enumeration date
11/01/2020
Last updated
10/14/2021
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