Individual
CHARLES VANCE POPE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-54650
UNITED HEALTHCARE
NC
01
—
16-54651
UNITED HEALTHCARE
NC
01
—
16-54652
UNITED HEALTHCARE
NC
01
—
63132
MEDCOST
NC
01
—
63164
MEDCOST
NC
01
—
63192
MEDCOST
NC
01
—
68421
BLUECROSS BLUESHIELD
NC
01
—
7208111
VIRGINIA MEDICAID
VA
05
—
8968421
—
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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