Individual
BETHANY L DENLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 DURANT STREET, SOUTH HILL, VA 23970-1614
(434) 447-2898
(434) 447-3456
Mailing address
PO BOX 90, SOUTH HILL, VA 23970-0090
(434) 447-2898
(434) 447-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101045540
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101045540
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006055907
—
VA
01
—
110043
BLUECROSS/BLUESHIELD
VA
01
—
110118927
RR MEDICARE
VA
01
—
44172
SENTERA/OPTIMA
VA
01
—
8905006
MEDICAID
NC
Enumeration date
08/09/2005
Last updated
05/03/2019
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