Provider Demographics
NPI:1710388327
Name:HEWGLEY, VIRGINIA
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:HEWGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 BEVERLY PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1084
Mailing Address - Country:US
Mailing Address - Phone:336-471-9915
Mailing Address - Fax:
Practice Address - Street 1:200 E BESSEMER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1416
Practice Address - Country:US
Practice Address - Phone:336-203-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC664171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist