Individual
DR. ANDREW DIXON HENEBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1808
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1808
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101250177
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1154635340
—
NC
05
—
NC3392
—
SC
Enumeration date
07/30/2010
Last updated
06/27/2022
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