Individual
ELENA F. HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5348
(434) 924-8335
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101249709
VA
2084P0800X
Psychiatry Physician
25308AL
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517422
BLUE CROSS
AL
01
—
203281200
US DEPARTMENT OF LABOR
AL
01
—
51519732
FEDERAL BLUE CROSS
AL
01
—
P00078330
MEDICARE RAILROAD
AL
Enumeration date
10/11/2006
Last updated
08/10/2023
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