Henson, Daniel Mark

Henson, Daniel Mark is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville GA 30501-3861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henson, Daniel Mark can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Ste 500 Gainesville GA 30501-3861
Phone: (770) 536-9864
Fax: (770) 297-5023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 025173 Georgia

Profile Details

NPI number 1780687756
LBN Legal business name Henson, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 2nd, 2015 - about 9 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 1780687756 NPPES
Georgia MEDICAID 00285227B

Popular Providers