Provider Demographics
NPI:1205033214
Name:HENNIS, HUGH LINWOOD (MD)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:LINWOOD
Last Name:HENNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1008 OLD ROCKFORD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-5361
Mailing Address - Country:US
Mailing Address - Phone:336-783-9222
Mailing Address - Fax:336-783-9224
Practice Address - Street 1:1008 OLD ROCKFORD ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-5361
Practice Address - Country:US
Practice Address - Phone:336-783-9222
Practice Address - Fax:336-783-9224
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2012-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC36197207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology