Audrey Henderson M.D.P.C.

LBN: Audrey Henderson M.D.P.C.
Audrey Henderson M.D.P.C. is an health care organization with primary practice located at 2824 Hillcreek Dr , Augusta GA 30909-5628. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Audrey Henderson M.D.P.C. can be contacted via phone (706) 860-4567, or through Henderson, Audrey M. via phone (706) 860-4567.

Contact Information

Primary practice address
2824 Hillcreek Dr Augusta GA 30909-5628
Phone: (706) 860-4567
Fax: (706) 860-4489
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Audrey M. Doctor of Medicine (MD)
Phone: (706) 860-4567

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 029884 Georgia

Profile Details

NPI number 1386825222
LBN Legal business name Audrey Henderson M.D.P.C.
DBA Doing business as
Authorized official Henderson, Audrey M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Nov 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386825222 NPPES
Georgia MEDICAID 00383897A
Georgia Other GRP6154

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