Henderson, Philip Norton

Henderson, Philip Norton is an sole proprietor health care provider with primary practice located at 2696 Lawrenceville Suwanee Rd , Suwanee GA 30024-2535. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Henderson, Philip Norton can be contacted via phone (678) 376-1300.

Contact Information

Primary practice address
2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535
Phone: (678) 376-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 047601 Georgia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 047601 Georgia
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 047601 Georgia

Profile Details

NPI number 1316963358
LBN Legal business name Henderson, Philip Norton
Credentials MD, MPH, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1316963358 NPPES
Georgia Other 047601 STATE LICENSE NUMBER
Georgia MEDICAID 00851034C STATE LICENSE NUMBER

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