John M. Henderson in Columbus - Sports Medicine
John M. Henderson - NPI 1477597979
John M. Henderson is a Sports Medicine in Columbus, Georgia. John M. Henderson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John M. Henderson is 1477597979. The last update date is 2023-03-07.
John M. Henderson's current location address is 1900 10th Ave Suite 320, Columbus, Georgia. You can contact this provider via phone number 7063235717 and fax number 7063236010. The mailing address for John M. Henderson is 1900 10th Ave Suite 320, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M. Henderson |
|---|---|
| Address | 1900 10th Ave Suite 320, Columbus, Georgia |
| Phone Number | 7063235717 |
| Fax Number | 7063236010 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1477597979 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1900 10th Ave Suite 320 |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 31901 |
| Phone Number | 7063235717 |
| Fax Number | 7063236010 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 25765 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25765 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the John M. Henderson's unique identification number?
The John M. Henderson has been assigned the NPI (National Provider Identifier) Number 1477597979 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John M. Henderson?
The John M. Henderson is physically situated at 1900 10Th Ave Suite 320, in the city of Columbus, state of GA, with the postal code 31901.
What is John M. Henderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John M. Henderson is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477597979 to John M. Henderson?
The John M. Henderson received its 1477597979 assignment from the Centers for Medicare & Medicaid Services on 2006-06-15.
When was the information related to John M. Henderson most recently updated or refreshed?
The details pertaining to the John M. Henderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.