Individual
TROY VAN ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9783
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101245468
VA
208000000X
Pediatrics Physician
Primary
D72316
MD
208M00000X
Hospitalist Physician
D72316
MD
390200000X
Student in an Organized Health Care Education/Training Program
0116018318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508075078
—
VA
Enumeration date
05/22/2007
Last updated
06/25/2018
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