Mark William Henderson in Moody Afb - General Practice
Mark William Henderson - NPI 1992792840
Mark William Henderson is a General Practice in Moody Afb, Georgia. Mark William Henderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark William Henderson is 1992792840. The last update date is 2018-04-25.
Mark William Henderson's current location address is 23d Medical Group 3278 Mitchell Blvd, Moody Afb, Georgia. You can contact this provider via phone number 2292571459. The mailing address for Mark William Henderson is 23d Medical Group 3278 Mitchell Blvd, Moody Afb, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Henderson |
|---|---|
| Address | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, Georgia |
| Phone Number | 2292571459 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992792840 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2018-04-25 |
Provider Mailing Address Detail
| Address | 23d Medical Group 3278 Mitchell Blvd |
|---|---|
| City | Moody Afb |
| State | Georgia (GA) |
| Post Code | 316991500 |
| Phone Number | 2292571459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5078 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Mark William Henderson by the Centers for Medicare & Medicaid Services?
The Mark William Henderson has been issued the NPI (National Provider Identifier) 1992792840, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark William Henderson?
The Mark William Henderson is situated at 23D Medical Group 3278 Mitchell Blvd, in the city of Moody Afb, state of GA, with the zip code 316991500.
What is the Mark William Henderson's area of specialization and corresponding taxonomy classification?
The Mark William Henderson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Mark William Henderson receive the assignment of its 1992792840 from the Centers for Medicare & Medicaid Services?
The Mark William Henderson was issued its 1992792840 by the Centers for Medicare & Medicaid Services on 2005-10-05.
When was the information regarding Mark William Henderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark William Henderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-04-25.
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