Individual
JEFFERY S FLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
817 DAVIS ST STE 2, BLACKSBURG, VA 24060-7004
(540) 951-8885
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101286343
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
036092720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092720
—
IL
01
—
21623278
BCBS
IL
Enumeration date
12/01/2006
Last updated
07/31/2025
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