| Albert E Henderson Md Pc | |
|
330 Oak St Saint Simons Island GA 31522-4725 | |
| (912) 258-4075 | |
| (912) 634-2371 |
| Full Name | Albert E Henderson Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Oak St, Saint Simons Island, Georgia |
| Authorized Official Name and Position | Albert Eben Henderson (PHYSICIAN) |
| Authorized Official Contact | 9122584075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert E Henderson Md Pc 330 Oak St Saint Simons Island GA 31522-4725 Ph: (912) 258-4075 | Albert E Henderson Md Pc 330 Oak St Saint Simons Island GA 31522-4725 Ph: (912) 258-4075 |
| NPI Number | 1497056865 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497056865 | NPI | - | NPPES |
| 00261522L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024948 (Georgia) | Primary |
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