Individual
DR. JOLENE BRYNER HENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 HOSPITAL DR, BLACKSBURG, VA 24060-7023
(540) 951-0780
(540) 951-0782
Mailing address
830 HOSPITAL DR, BLACKSBURG, VA 24060-7023
(540) 951-0780
(540) 951-0782
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101241379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164549978
—
VA
Enumeration date
03/25/2007
Last updated
08/13/2009
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