Larry A Henderson in Lucedale - Family Medicine
Larry A Henderson - NPI 1215976022
Larry A Henderson is a Family Medicine in Lucedale, Mississippi. Larry A Henderson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry A Henderson is 1215976022. The last update date is 2018-12-24.
Larry A Henderson's current location address is Po Box 1007, Lucedale, Mississippi. You can contact this provider via phone number 6019478181 and fax number 6019474411. The mailing address for Larry A Henderson is Po Box 1007, Lucedale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry A Henderson |
|---|---|
| Address | Po Box 1007, Lucedale, Mississippi |
| Phone Number | 6019478181 |
| Fax Number | 6019474411 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215976022 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2018-12-24 |
Provider Mailing Address Detail
| Address | Po Box 1007 |
|---|---|
| City | Lucedale |
| State | Mississippi (MS) |
| Post Code | 394521007 |
| Phone Number | 6019478181 |
| Fax Number | 6019474411 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 19697 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9966685 | AL | -- | |
| 270736500 | FL | -- | |
| 01-01886 | AL | UNITED HEALTH CARE | |
| 9435313 | MS | -- | |
| P00696992 | MS | PALMETTO GBA | |
| 51523926 | AL | BLUE CROSS | |
| 1502324 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larry A Henderson by the Centers for Medicare & Medicaid Services?
The Larry A Henderson has been issued the NPI (National Provider Identifier) 1215976022. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry A Henderson's physical address?
The Larry A Henderson is physically located at Po Box 1007, in the city of Lucedale, MS, with the postal code 394521007.
What is the Larry A Henderson's area of specialization and corresponding taxonomy classification?
The Larry A Henderson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1215976022 to Larry A Henderson?
The Larry A Henderson received its 1215976022 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date was the information regarding Larry A Henderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry A Henderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-24.
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