Organization
WOODSTOCK SURGICAL CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY HODSON WYMER (BILLING SUPERVISOR)
(540) 459-3753
Entity
Organization
Contact information
Practice address
103 W SOUTH ST, WOODSTOCK, VA 22664-1238
(540) 459-3753
(540) 459-8928
Mailing address
103 W SOUTH ST, WOODSTOCK, VA 22664-1238
(540) 459-3753
(540) 459-8928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010042747
—
VA
01
—
2188487002
DR. PULIZZ CIGNA
VA
01
—
266315
ANTHEM, DR. PULIZZI
VA
01
—
435027
ANTHEM, GROUP
VA
01
—
435028
ANTHEM, DR. CARMAIN
VA
01
—
76159338
WAUSAU GROUP
VA
01
—
8563807002
DR. CARMAIN, CIGNA
VA
Enumeration date
05/16/2006
Last updated
08/22/2020
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