Provider Demographics
NPI:1497763148
Name:APPALACHIAN CENTER FOR OBESITY SURGERY
Entity Type:Organization
Organization Name:APPALACHIAN CENTER FOR OBESITY SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO FACOS
Authorized Official - Phone:276-883-8026
Mailing Address - Street 1:PO BOX 2557
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-2557
Mailing Address - Country:US
Mailing Address - Phone:276-883-8026
Mailing Address - Fax:276-883-8027
Practice Address - Street 1:CARROLL & TATE STS.
Practice Address - Street 2:SUITE 4
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266
Practice Address - Country:US
Practice Address - Phone:276-883-8026
Practice Address - Fax:276-883-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty