Individual
DR. GEORGE DURHAM HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4064 POSTAL DR, ROANOKE, VA 24018-6438
(540) 725-1226
(540) 857-5306
Mailing address
4064 POSTAL DR, ROANOKE, VA 24018-6438
(540) 725-1226
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101017408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215914544
SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA
05
—
1215914544
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
540506332115
TRICARE
VA
01
—
P00831108
RAILROAD MEDICARE
VA
Enumeration date
12/28/2005
Last updated
03/06/2014
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