Henderson, Gregory D

Henderson, Gregory D is an individual health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Henderson, Gregory D can be contacted via phone (843) 347-8037.

Contact Information

Primary practice address
300 Singleton Ridge Rd Conway SC 29526-9142
Phone: (843) 347-8037
Fax: (843) 520-8403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN477 South Carolina

Profile Details

NPI number 1528068335
LBN Legal business name Henderson, Gregory D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528068335 NPPES
South Carolina Other P00123825 RAILROAD MEDICARE
South Carolina MEDICAID AN0753 RAILROAD MEDICARE

Popular Providers