Healthcare Provider Details

I. General information

NPI: 1396716502
Provider Name (Legal Business Name): HILLARY WHONDER-GENUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 NEFF AVE SUITE A
HARRISONBURG VA
22801-3492
US

IV. Provider business mailing address

563 NEFF AVE SUITE A
HARRISONBURG VA
22801-3492
US

V. Phone/Fax

Practice location:
  • Phone: 540-433-4913
  • Fax: 540-433-4915
Mailing address:
  • Phone: 540-433-4913
  • Fax: 540-433-4915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number217097
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101242213
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: