Henson, Audrey S
Henson, Audrey S is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Henson, Audrey S can be contacted via phone (864) 455-5723.Contact Information
Primary practice address
701 Grove Rd
Greenville SC 29605-4210
Phone: (864) 455-5723
Fax: (864) 455-5723
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7696 | Georgia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 85289 | Georgia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 87902 | South Carolina |
Profile Details
NPI number | 1114306446 |
---|---|
LBN Legal business name | Henson, Audrey S |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2015 |
Last updated | Feb 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114306446 | NPPES |
South Carolina | MEDICAID | PENDING |
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