Organization
SALEM SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY JOHNSTON CPC (PRACTICE MANAGER)
(540) 772-3008
Entity
Organization
Contact information
Practice address
1898 BRAEBURN DR, SALEM, VA 24153-7301
(540) 772-3008
(540) 772-3352
Mailing address
1898 BRAEBURN DR, SALEM, VA 24153-7301
(540) 772-3008
(540) 772-3352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256989
ANTHEM
VA
Enumeration date
10/18/2006
Last updated
11/12/2020
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