Organization
THE CENTERS FOR PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A WRAY MD (OWNER)
(540) 444-4343
Entity
Organization
Contact information
Practice address
2880 KEAGY RD, SALEM, VA 24153-7458
(540) 444-4343
(540) 444-4345
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101042617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10337
MEDICARE GROUP
VA
Enumeration date
11/21/2007
Last updated
06/24/2010
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