Henderson, Matthew
Henderson, Matthew is an individual health care provider with primary practice located at 150 Clinic Ave Ste 101 , Carrollton GA 30117-4402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Henderson, Matthew can be contacted via phone (770) 834-0873.Contact Information
Primary practice address
150 Clinic Ave Ste 101
Carrollton GA 30117-4402
Phone: (770) 834-0873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN239465 | Georgia |
Profile Details
| NPI number | 1013568740 |
|---|---|
| LBN Legal business name | Henderson, Matthew |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Sep 24th, 2019 - about 5 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.
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