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Individual

CHARLES S HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336
(540) 662-8593

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102201721
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010147816
VA
Enumeration date
02/22/2006
Last updated
03/24/2021
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