Provider Demographics
NPI:1669452066
Name:HEMPHILL, JULIA T (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:T
Last Name:HEMPHILL
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 624
Mailing Address - Street 2:
Mailing Address - City:ELLISTON
Mailing Address - State:VA
Mailing Address - Zip Code:24087-0624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6920 ROANOKE RD
Practice Address - Street 2:
Practice Address - City:SHAWSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24162-2018
Practice Address - Country:US
Practice Address - Phone:540-268-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-058106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5609186Medicaid
VA5609186Medicaid
VAH21194Medicare UPIN
080007365Medicare PIN