Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Other names
Plastic Surgery Office
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS W BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-5992
Entity
Organization
Contact information
Practice address
2880 KEAGY RD., SALEM, VA 24153
(540) 444-4343
(540) 444-4345
Mailing address
2880 KEAGY RD., SALEM, VA 24153
(540) 444-4343
(540) 444-4345
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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