Anita S Henderson in Hattiesburg - Pediatrics

Anita S Henderson - NPI 1750494472

Anita S Henderson is a Pediatrics in Hattiesburg, Mississippi. Anita S Henderson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Anita S Henderson is 1750494472. The last update date is 2020-07-14.

Anita S Henderson's current location address is 101 Medical Park, Hattiesburg, Mississippi. You can contact this provider via phone number 6015793000. The mailing address for Anita S Henderson is 101 Medical Park, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Anita S Henderson
Address 101 Medical Park, Hattiesburg, Mississippi
Phone Number 6015793000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750494472
Provider Enumeration Date 2006-08-16
Last Updated Date 2020-07-14

Provider Mailing Address Detail

Address 101 Medical Park
City Hattiesburg
State Mississippi (MS)
Post Code 39401
Phone Number 6015793000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 13283
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1685887 LA --
117288 MS --
1559044 MS AMERICAN ADMIN GROUP

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FAQs about Anita S Henderson

What is the unique 10-digit identifier code assigned to Anita S Henderson by the Centers for Medicare & Medicaid Services?

The Anita S Henderson has been issued the NPI (National Provider Identifier) 1750494472 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Anita S Henderson?

The Anita S Henderson is physically situated at 101 Medical Park, in the city of Hattiesburg, state of MS, with the postal code 39401.

What is the Anita S Henderson's specialty and taxonomy code?

The Anita S Henderson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date was the 1750494472 assigned to Anita S Henderson?

The Anita S Henderson was issued its 1750494472 on 2006-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information pertaining to Anita S Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-14.

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