Charlottesville Plastic Surgery
Plastic Surgery in Charlottesville, VA. Organization (NPI-2).
NPI number1083245161
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1083245161
- Entity type
- Organization (NPI-2)
- Legal business name
- Charlottesville Plastic Surgery
- Organization subpart
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
1410 Incarnation Dr Ste 205aCharlottesville, VA 22901-5708
Phone 434-227-5333 · Fax 434-483-5040
Mailing address
1410 Incarnation Dr Ste 205aCharlottesville, VA 22901-5708
Phone 434-227-5333 · Fax 434-483-5040
Authorized official
Rhett Nicholson Willis
Owner
4342275333
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Other Plastic Surgery Physician providers in Charlottesville, VA
- Jonathan S. Black, M.D.NPI 1548463300
- Perry Bradford, M.D.NPI 1275067936
- Christopher A. Campbell, M.D.NPI 1760696231
- Ava G Chappell, MDNPI 1447614052
- Brent R Degeorge, MDNPI 1912221755
- Michael P Grant, M.D.NPI 1669437299
- Jared Michael Liston, M.D.NPI 1932630019
- Luke P Poveromo, MDNPI 1427582824
- Amanda R Sergesketter, MDNPI 1124589189
- Ronnie L Shammas, MDNPI 1427554435
All 14 Plastic Surgery Physician providers in Charlottesville · All 7,958 providers in Charlottesville
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