Individual
DR. TED ROGER ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13821 VILLAGE MILL DR, MIDLOTHIAN, VA 23114-4365
(804) 794-2821
(804) 794-4072
Mailing address
PO BOX 549, MIDLOTHIAN, VA 23113-0549
(804) 794-2821
(804) 794-4072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101020981
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006703631
—
VA
Enumeration date
07/31/2006
Last updated
01/05/2009
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