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Organization

RALEIGH GENERAL HOSPITAL

Active
Other names
Raleigh Plastic and Cosmetic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL SMITH (VP)
(304) 255-3844
Entity
Organization

Contact information

Practice address
400 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-3844
Mailing address
400 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-3844

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001207005
WV
Enumeration date
07/17/2006
Last updated
08/22/2020
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