Michael Potter Henderson M.D.

NPI 1427135086 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1427135086
Gender Male
Enumeration Date 11/01/2006
Last Updated 05/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
825 FAIRFAX AVE
SUITE 710
NORFOLK VA, 23507-1914, US
Phone (757) 446-5888
Fax (757) 446-5918
Business Location
PO BOX 936
NORFOLK VA, 23501-0936, US
Phone (757) 446-5888
Fax (757) 446-5918
Toxanomy
Taxonomy Code 2084P0800X
License State Virginia
License Number 0101242252
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According to our database, Dr. Michael Potter Henderson M.D. NPI is 1427135086, taxonomy code is 2084P0800X and license number is 0101242252, license state is located at Virginia. Michael Potter Henderson M.D. physically located at 825 Fairfax Ave, Norfolk VA, 23507-1914. NPI Number Michael Potter Henderson M.D. has the Individual type.

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1427135086 NPI number is provided on an as is basis without warranty of any kind. 1427135086 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Potter Henderson M.D. are for informational purposes only.