Individual
DR. ANNE CHARLOTTE SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 W MAIN ST, ABINGDON, VA 24210-2715
(276) 676-3870
(276) 628-8927
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101223782
VA
207R00000X
Internal Medicine Physician
47033
TN
208M00000X
Hospitalist Physician
47033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010200661
—
VA
01
—
0385921
UMWA
VA
01
—
182872
ANTHEM
VA
01
—
202760
BLACK LUNG
VA
01
—
320218
SOUTHERN HEALTH
VA
Enumeration date
08/24/2005
Last updated
08/13/2015
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