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Individual

DR. CHARLOTTE ANN TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
495 EAST MAIN STREET, LEBANON, VA 24266-4510
(276) 889-3700
(276) 889-5505
Mailing address
PO BOX 3156, LEBANON, VA 24266-3156

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101233459
KY
207P00000X
Emergency Medicine Physician
0101233459
VA
207Q00000X
Family Medicine Physician
Primary
0101233459
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010089336
VA
01
144496
ANTHEM
VA
05
1881683712
VA
05
7100147780
KY
Enumeration date
10/13/2005
Last updated
12/05/2014
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