Organization
PLASTIC SURGERY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER EMORY M.D. (PRESIDENT)
(276) 623-4500
Entity
Organization
Contact information
Practice address
112 ABINGDON PL, ABINGDON, VA 24211-5197
(276) 623-4500
(276) 623-4510
Mailing address
112 ABINGDON PL, ABINGDON, VA 24211-5197
(276) 623-4500
(276) 623-4510
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101840454
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
427211
COMBINED INSURANCE
—
01
—
451661
ANTHEM
VA
05
—
6900283
—
VA
Enumeration date
10/25/2005
Last updated
08/22/2020
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