Provider Demographics
NPI:1043417595
Name:WESSON, HADLEY KATHARINE (MD)
Entity Type:Individual
Prefix:
First Name:HADLEY
Middle Name:KATHARINE
Last Name:WESSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980135
Mailing Address - Street 2:SURG: GENERAL
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0135
Mailing Address - Country:US
Mailing Address - Phone:804-828-2755
Mailing Address - Fax:
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:SURG: GENERAL
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-7391
Practice Address - Fax:804-828-0191
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116019417390200000X
MDD79846208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program