Gery, Charles S

Gery, Charles S is an individual health care provider with primary practice located at 1802 Braeburn Dr Suite 1310, Salem VA 24153-7357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gery, Charles S can be contacted via phone (540) 776-2020.

Contact Information

Primary practice address
1802 Braeburn Dr Suite 1310 Salem VA 24153-7357
Phone: (540) 776-2020
Fax: (540) 776-2017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110840469 Virginia

Profile Details

NPI number 1962484915
LBN Legal business name Gery, Charles S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962484915 NPPES
Other P00413631 MEDICARE RR
MEDICAID 1962484915 MEDICARE RR
Other P00453914 MEDICARE RR

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