Doctor Name: | CHARLES SCOTT MCENROE |
NPI Number: | 1255303293 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101043739 |
Business Practice Address: | 3300 South Bldg 397 Little Neck Rd Ste 100 Va Beach, VA - 23452 |
Business Phone Number: | 7574705570 |
Business Fax Number: | 7572273377 |
Mailing Address: | 397 Little Neck Rd, 3300 South Bldg, Suite 100 VIGINIA BEACH |
State: | VA |
Postal Code: | 23452 |
Phone Number: | 7574705570 |
Fax Number: | 7572273377 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 0101043739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |