Organization
HIBERNIAN NEPHROLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST N. HENRY M.D. (OWNER)
(276) 628-1106
Entity
Organization
Contact information
Practice address
322 VALLEY ST NE, SUITE A, ABINGDON, VA 24210-2912
(276) 628-1106
(276) 676-0215
Mailing address
322 VALLEY ST NE, SUITE A, ABINGDON, VA 24210-2912
(276) 628-1106
(276) 676-0215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101048242
VA
Other
Enumeration date
05/03/2007
Last updated
06/29/2010
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