Individual
CATHERINE C. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5855 BREMO RD, SUITE 210, RICHMOND, VA 23226-1930
(804) 287-7066
(804) 673-9531
Mailing address
9100 RIVER RD, RICHMOND, VA 23229-7722
(806) 535-9994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101245311
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467666560
—
VA
Enumeration date
05/09/2007
Last updated
05/02/2013
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