Organization
PLASTIC SURGERY SERVICES OF FREDERICKSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESI BEAMON MACKEY (PRACTICE ADMINISTRATOR)
(540) 371-7726
Entity
Organization
Contact information
Practice address
3312 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 371-7730
(540) 371-4790
Mailing address
3312 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 371-7730
(540) 371-4790
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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