NPI 1205308210

Clover Charles

Practitioner Prosthetist Lynchburg, VA

Practice location

Address: 476 Oakley Ave, Lynchburg, VA 24501-3647
Phone: (434) 444-2579

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1201133686 (VA)

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Registry record

NPI: 1205308210
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2019
Record last updated: 30 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.