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Individual

DR. CHARLES EDWIN HYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
190 CAMPUS BLVD STE 310, WINCHESTER, VA 22601-2872
(540) 536-0130
(540) 536-0140
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0135

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101243351
VA
208600000X
Surgery Physician
24318
WV
2086S0127X
Trauma Surgery Physician
0101243351
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811964406
VA
Enumeration date
03/02/2006
Last updated
06/10/2021
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