Henderson, Randolph Hayes

Henderson, Randolph Hayes is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Drive G V Montgomery Department Of Veterans Affairs, Jackson MS 39216-5199. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henderson, Randolph Hayes can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Drive G V Montgomery Department Of Veterans Affairs Jackson MS 39216-5199
Phone: (601) 362-4471
Fax: (601) 364-1325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001 Mississippi

Profile Details

NPI number 1366530545
LBN Legal business name Henderson, Randolph Hayes
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 11th, 2007 - about 19 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.

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