Individual
DR. RENARD A CHARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COWARDIN AVE, SUITE 208, RICHMOND, VA 23224-2078
(804) 231-9691
(804) 231-2241
Mailing address
101 COWARDIN AVE, SUITE 208, RICHMOND, VA 23224-2078
(804) 231-9691
(804) 231-2241
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101026298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003020
ANTHEM BC/BC PROVIDER #
VA
05
—
006258115
—
VA
01
—
160043284
RAILROAD MEDICARE #
VA
01
—
40113
VIRGINIA PREMIER PROVIDER
VA
01
—
537952
AETNA PROVIDER #
VA
Enumeration date
08/29/2006
Last updated
07/09/2007
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