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1992746994
CHARLES G PENICK
FREDERICKSBURG, VA
NPI
1992746994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: VA 0101034485)
Enumeration Date
2006-06-09
Last Update Date
2007-11-20
Business Address
-- CHARLES G PENICK MD
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Phone number: 540-741-1167
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Mailing Address
-- CHARLES G PENICK MD
PO BOX 888
FREDERICKSBURG, VA 22404
Phone number: 800-888-1752
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