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NPI Profile for PENINSULA PLASTIC SURGERY CENTER in WILLIAMSBURG, VA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery | |
Specialist |
174400000X | |||
Surgery of the Hand |
2082S0105X | 02 | Physician/General Surgery |
| NPI # | 1689731986 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/03/2007 | |
| Last updated | 12/11/2020 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PENINSULA PLASTIC SURGERY CENTER
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PENINSULA PLASTIC SURGERY CENTER