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Individual

CHARLES GREGORY LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 OLD DENBIGH BLVD STE 1020A, NEWPORT NEWS, VA 23602
(757) 875-2009
(757) 369-1042
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101039560
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101039560
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007400331
VA
01
C06115
GROUP PTAN
VA
Enumeration date
05/26/2006
Last updated
07/02/2019
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