Audrey Henderson M.D.P.C.
LBN: Audrey Henderson M.D.P.C.
Audrey Henderson M.D.P.C. is an health care organization with primary practice located at 2824 Hillcreek Dr , Augusta GA 30909-5628. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Audrey Henderson M.D.P.C. can be contacted via phone (706) 860-4567, or through Henderson, Audrey M. via phone (706) 860-4567.
Contact Information
Primary practice address
2824 Hillcreek Dr
Augusta GA 30909-5628
Phone: (706) 860-4567
Fax: (706) 860-4489
Website:
Authorized official contact:
Name: Henderson, Audrey M. Doctor of Medicine (MD)
Phone: (706) 860-4567
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 029884 | Georgia |
Profile Details
NPI number | 1386825222 |
---|---|
LBN Legal business name | Audrey Henderson M.D.P.C. |
DBA Doing business as | |
Authorized official | Henderson, Audrey M. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 20th, 2007 |
Last updated | Nov 20th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386825222 | NPPES |
Georgia | MEDICAID | 00383897A | |
Georgia | Other | GRP6154 |
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