PLASTIC SURGERY SERVICES OF FREDERICKSBURG NPI 1912087206

NPI Information

PLASTIC SURGERY SERVICES OF FREDERICKSBURG is a plastic and reconstructive surgery surgery in Fredericksburg, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY SERVICES OF FREDERICKSBURG NPI is 1912087206. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3312 FALL HILL AVE
FREDERICKSBURG, VA
ZIP 22401-000
Phone: (540) 371-7730
Fax: (540) 371-4790

The provider's authorized official is Lesi Beamon Mackey .
The authorized official title is Practice Administrator and has the following contact phone number (540) 371-7726.

The CLIA number assigned to this NPI record is 49D2079285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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