Individual
CHARLES D PRICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 DMV DRIVE, KILMARNOCK, VA 22482
(804) 435-3103
(804) 435-6695
Mailing address
107 DMV DRIVE, PO BOX 1599, KILMARNOCK, VA 22482
(804) 435-3103
(804) 435-6695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101020644
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015959
ANTHEM
VA
05
—
48140
—
VA
Enumeration date
12/06/2006
Last updated
07/08/2007
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