Organization
CHARLOTTESVILLE PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHETT NICHOLSON WILLIS JR. MD (OWNER)
(434) 227-5333
Entity
Organization
Contact information
Practice address
1410 INCARNATION DR STE 205A, CHARLOTTESVILLE, VA 22901-5708
(434) 227-5333
(434) 483-5040
Mailing address
1410 INCARNATION DR STE 205A, CHARLOTTESVILLE, VA 22901-5708
(434) 227-5333
(434) 483-5040
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
07/06/2020
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