Individual
DR. RHETT N WILLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
0101254231
VA
208200000X
Plastic Surgery Physician
10240804-1205
UT
Other
Enumeration date
01/26/2011
Last updated
08/25/2020
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