Dr. Charles Maurice Dillard, MD
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Norfolk, VA. Individual provider (NPI-1).
NPI number1386852028
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1386852028
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Maurice Dillard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2007
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P0010X | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | 0101243629 | VA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 0101243629 | VA | |
| 2081P0301X | Physical Medicine & Rehabilitation, Brain Injury Medicine | 0101243629 | VA |
Practice location
301 Riverview Ave Ste 501Norfolk, VA 23510-1065
Phone 757-668-9915 · Fax 757-668-9925
Mailing address
301 Riverview Ave Ste 501Norfolk, VA 23510-1065
Phone 757-668-9915 · Fax 757-668-9925
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