Healthcare Provider Details

I. General information

NPI: 1184039620
Provider Name (Legal Business Name): PHILLIP J HONEA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOLBROOK ST
DANVILLE VA
24541
US

IV. Provider business mailing address

101 HOLBROOK ST
DANVILLE VA
24541-1759
US

V. Phone/Fax

Practice location:
  • Phone: 434-792-7765
  • Fax: 434-793-4061
Mailing address:
  • Phone: 434-792-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101021089
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102205150
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: