Individual
DR. WILLIAM W HENDERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 EXECUTIVE DR, SUITE F, DANVILLE, VA 24541-4160
(434) 792-4378
Mailing address
159 EXECUTIVE DR, SUITE F, DANVILLE, VA 24541-4160
(434) 792-4378
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101035148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006041710
—
VA
Enumeration date
07/28/2005
Last updated
01/16/2014
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