James Alan Henderson MD

NPI 1689840514 - Family Medicine - 207QA0000X

NPI Details
NPI 1689840514
Gender Male
Enumeration Date 04/30/2008
Last Updated 02/07/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
2750 LAUREL ST
SUITE 103
COLUMBIA SC, 29204-2038, US
Phone (803) 254-5171
Fax (803) 779-7403
Business Location
2750 LAUREL ST
SUITE 103
COLUMBIA SC, 29204-2038, US
Phone (803) 254-5171
Fax (803) 779-7403
Toxanomy
Taxonomy Code 207QA0000X
License State South Carolina
License Number 30952
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According to our database, Dr. James Alan Henderson MD NPI is 1689840514, taxonomy code is 207QA0000X and license number is 30952, license state is located at South Carolina. James Alan Henderson MD physically located at 2750 Laurel St, Columbia SC, 29204-2038. NPI Number James Alan Henderson MD has the Individual type.

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1689840514 NPI number is provided on an as is basis without warranty of any kind. 1689840514 is maintained by the National Plan & Provider Enumeration System. The contents of James Alan Henderson MD are for informational purposes only.