| Mark J Henson Dpm Pc | |
|
730 S 8th St, Griffin, GA 30224-4827 | |
| (770) 228-6644 | |
| (770) 228-5769 |
| Full Name | Mark J Henson Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 730 S 8th St, Griffin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649452632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000897 (Georgia) | Primary |
| Provider Name | Mark Jeffrey Henson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750473476 PECOS PAC ID: 5698808269 Enrollment ID: I20100803000562 |
| Provider Name | Jerry Thomas Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629395405 PECOS PAC ID: 2264668094 Enrollment ID: I20131126000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Henson Dpm Pc 730 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-6644 | Mark J Henson Dpm Pc 730 S 8th St, Griffin, GA 30224-4827 Ph: (770) 228-6644 |
Modern Podiatry, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 730 S 8th St, Griffin, GA 30224 Phone: 770-228-6644 Fax: 770-228-5769 | |
Dr. Nathan Jeffrey Kalil, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 730 S 8th St, Griffin, GA 30224 Phone: 770-228-6644 | |
Mark J Henson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 730 S 8th St, Griffin, GA 30224 Phone: 770-228-6644 Fax: 770-228-5769 | |
James Brooks Livingston, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1521 W Mcintosh Rd, Griffin, GA 30223 Phone: 770-227-0202 Fax: 770-227-3775 |