Individual
SUSAN BARROW HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARROLL & TATE STS, BOX 3600, LEBANON, VA 24266
(276) 523-7938
Mailing address
148 CRESTVIEW DR, ABINGDON, VA 24210-2010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101038126
VA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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