Individual
BRIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 N MAIN ST, EMPORIA, VA 23847-1274
(434) 348-4500
(434) 348-4506
Mailing address
8309 BON AIR STATION CT, RICHMOND, VA 23235-3172
(804) 330-7971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101042757
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10351499
—
VA
01
—
P00368549
RAILROAD MCR
—
Enumeration date
06/27/2006
Last updated
01/18/2008
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