Warren J Henderson in Lagrange - Internal Medicine

Warren J Henderson - NPI 1790720944

Warren J Henderson is a Internal Medicine in Lagrange, Georgia. Warren J Henderson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Warren J Henderson is 1790720944. The last update date is 2017-10-10.

Warren J Henderson's current location address is 1602 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068899341 and fax number 7068840131. The mailing address for Warren J Henderson is 1602 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Warren J Henderson
Address 1602 Vernon Rd, Lagrange, Georgia
Phone Number 7068899341
Fax Number 7068840131
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790720944
Provider Enumeration Date 2006-06-19
Last Updated Date 2017-10-10

Provider Mailing Address Detail

Address 1602 Vernon Rd
City Lagrange
State Georgia (GA)
Post Code 30240
Phone Number 7068899341
Fax Number 7068840131

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 20734
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000223935A GA --
810850 AL --

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FAQs about Warren J Henderson

What is the unique 10-digit identification code assigned to Warren J Henderson by the Centers for Medicare & Medicaid Services?

The Warren J Henderson has been issued the NPI (National Provider Identifier) 1790720944, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Warren J Henderson is located?

The Warren J Henderson is situated at the following address: 1602 Vernon Rd, Lagrange, GA, 30240.

What is Warren J Henderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Warren J Henderson is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790720944 to Warren J Henderson?

The Centers for Medicare & Medicaid Services originally issued the 1790720944 to Warren J Henderson on 2006-06-19.

As of what date were the details related to Warren J Henderson most recently updated or revised?

The information pertaining to Warren J Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-10.

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