Individual
DR. CHARLES H. PARKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1627 SEYMOUR DR, SOUTH BOSTON, VA 24592-3428
(434) 572-1171
(434) 572-1776
Mailing address
1627 SEYMOUR DR, PO BOX 397, SOUTH BOSTON, VA 24592-3428
(434) 572-1171
(434) 572-1776
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101041330
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005840970
—
VA
Enumeration date
04/26/2006
Last updated
09/14/2010
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