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Individual

ANITA HAWKS HENLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
929 N MAIN ST, MARION, VA 24354-4117
(276) 783-8183
(276) 378-0218
Mailing address
929 N MAIN ST, MARION, VA 24354-4117
(276) 783-8183
(276) 378-0218

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102202185
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336354117
VA
Enumeration date
05/14/2007
Last updated
08/25/2025
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