Henderson, Stephanie Terrell

Henderson, Stephanie Terrell is an sole proprietor health care provider with primary practice located at 313 Revolution Dr , Peachtree City GA 30269-1086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henderson, Stephanie Terrell can be contacted via phone (252) 342-5772.

Contact Information

Primary practice address
313 Revolution Dr Peachtree City GA 30269-1086
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9474 Georgia

Profile Details

NPI number 1093487407
LBN Legal business name Henderson, Stephanie Terrell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 4 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

Popular Providers