Dr. Charles E. Driscoll
Family Doctor Geriatric Medicine
2323 Memorial Ave Suite 10
Lynchburg
, Virginia 24501-2661
Dr. Charles E. Driscoll
Family Doctor Geriatric Medicine
2323 Memorial Ave Suite 10
Lynchburg
, Virginia 24501-2661
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About
Features
Specialties
- Family Doctor
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles E. Driscoll
- 1204 Fenwick Dr
- Lynchburg, VA
- Zip : 24502-2112
- Phone :
Second Address
- Dr. Charles E. Driscoll
- 2323 Memorial Ave Suite 10
- Lynchburg, VA
- Zip : 24501-2661
- Phone : (434) 947-5200
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Is Dr. Charles E. Driscoll a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0101224139 | VA |
| N | 207RG0300X | Geriatric Medicine | 0101224139 | VA |
National Provider Identifier
| NPI | 1093713950 |
|---|---|
| Provider Name | Dr. Charles E. Driscoll |
| First Address | Lynchburg, VA 24502-2112 |
| Second Address | Lynchburg, VA 24501-2661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 28/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0056-4239-6 | (05) | VA |
| 005644011 | (05) | VA |
| 01-02054 | UNITED HEALTHCARE PROVIDE (01) | |
| 216430 | ANTHEM PROVIDER NUMBER (01) | |
| 248773 | SOUTHERN HEALTH PROVIDER (01) | |
| 41816 | SENTARA/OPTIMA PROVIDER N (01) | |
| 541457983 | PCHP PROVIDER NUMBER (01) | |
| 541457983 | TRICARE PROVIDER NUMBER (01) | |
| 56-4401-1 | VA PREMIER PROVIDER NUMBE (01) | |
| 9035997 | CIGNA PROVIDER NUMBER (01) | |
| 93672 | MEDCOST PROVIDER NUMBER (01) | |
| E04900 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.