Individual
SARA A. HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
541 SUNSET LN, SUITE 303, CULPEPER, VA 22701-3979
(540) 825-2600
(540) 825-4026
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101254029
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018514
VA
Other
Enumeration date
05/09/2007
Last updated
12/04/2013
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