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Individual

DR. CHARLES WINSTON HARRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7290 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1706
(804) 746-1950
(804) 746-3275
Mailing address
PO BOX 667, MECHANICSVILLE, VA 23111-0667
(804) 746-1950
(804) 746-3275

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000061
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00923583
VA
Enumeration date
08/23/2005
Last updated
03/01/2010
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