Organization
VEIN & COSMETIC SOLUTIONS
Active
Other names
Vein & Cosmetic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H WIDMEYER MD (OWNER)
(434) 847-5347
Entity
Organization
Contact information
Practice address
7626 TIMBERLAKE RD, LYNCHBURG, VA 24502-2325
(434) 847-5347
(434) 316-7008
Mailing address
7626 TIMBERLAKE RD, LYNCHBURG, VA 24502-2325
(434) 847-5347
(434) 316-7008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049993
VA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176753
ANTHEM
VA
01
—
429868
SOUTHERN HEALTH
VA
01
—
7187888
AETNA
VA
01
—
DD5891
RAILROAD MEDICARE
VA
Enumeration date
10/25/2006
Last updated
06/04/2024
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