Provider Demographics
NPI:1801998604
Name:DELCAMBRE, CHARLES ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ARTHUR
Last Name:DELCAMBRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:120 N COMMERCE AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2660
Mailing Address - Country:US
Mailing Address - Phone:540-635-0760
Mailing Address - Fax:540-635-0771
Practice Address - Street 1:120 N COMMERCE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2660
Practice Address - Country:US
Practice Address - Phone:540-635-0760
Practice Address - Fax:540-635-0771
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400844207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137MTMedicaid
NC2883244OtherCIGNA
NC137MTOtherBCBS OF NC
NC257510OtherWELLPATH
NCP00418821Medicare PIN
NC2031912Medicare PIN
F32645Medicare UPIN