Johnathan Edward Henderson in Rome - Family Medicine

Johnathan Edward Henderson - NPI 1154327856

Johnathan Edward Henderson is a Family Medicine in Rome, Georgia. Johnathan Edward Henderson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Johnathan Edward Henderson is 1154327856. The last update date is 2023-03-10.

Johnathan Edward Henderson's current location address is 304 Shorter Ave Nw Ste 201, Rome, Georgia. You can contact this provider via phone number 7065093300 and fax number 7065093301. The mailing address for Johnathan Edward Henderson is 304 Shorter Ave Nw Ste 201, Rome, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnathan Edward Henderson
Address 304 Shorter Ave Nw Ste 201, Rome, Georgia
Phone Number 7065093300
Fax Number 7065093301
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1154327856
Provider Enumeration Date 2005-06-27
Last Updated Date 2023-03-10

Provider Mailing Address Detail

Address 304 Shorter Ave Nw Ste 201
City Rome
State Georgia (GA)
Post Code 301650
Phone Number 7065093300
Fax Number 7065093301

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 54898
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103487 GA UNITED HEALTHCARE
P00177381 GA RAILROAD RETIREMENT MEDIC
6313 GA KAISER PERMANENTE
388021 GA BCBS

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FAQs about Johnathan Edward Henderson

What is the unique identifier code issued to Johnathan Edward Henderson by the Centers for Medicare & Medicaid Services?

The Johnathan Edward Henderson has been assigned the NPI (National Provider Identifier) 1154327856. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Johnathan Edward Henderson is physically located?

The Johnathan Edward Henderson is situated at the following address: 304 Shorter Ave Nw Ste 201, Rome, GA 301650.

What is Johnathan Edward Henderson's area of expertise and its corresponding taxonomy classification?

The Johnathan Edward Henderson's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

When did Johnathan Edward Henderson receive its 1154327856 assignment?

The Johnathan Edward Henderson was assigned its 1154327856 on 2005-06-27, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Johnathan Edward Henderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Johnathan Edward Henderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-10.

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