David B Henderson in Fayetteville - Adolescent Medicine
David B Henderson - NPI 1184615239
David B Henderson is a Adolescent Medicine in Fayetteville, North Carolina. David B Henderson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for David B Henderson is 1184615239. The last update date is 2016-07-12.
David B Henderson's current location address is Po Box 40908, Fayetteville, North Carolina. You can contact this provider via phone number 9106156949 and fax number 9106159761. The mailing address for David B Henderson is Po Box 40908, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David B Henderson |
|---|---|
| Address | Po Box 40908, Fayetteville, North Carolina |
| Phone Number | 9106156949 |
| Fax Number | 9106159761 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184615239 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2016-07-12 |
Provider Mailing Address Detail
| Address | Po Box 40908 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283090908 |
| Phone Number | 9106156949 |
| Fax Number | 9106159761 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 100436 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184615239 | TRICARE | ||
| 1184615239 | SC | -- | |
| 10436 | NC | NORTH CAROLINA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David B Henderson by the Centers for Medicare & Medicaid Services?
The David B Henderson has been issued the NPI (National Provider Identifier) 1184615239, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David B Henderson is physically located?
The David B Henderson is physically situated at the following address: Po Box 40908, Fayetteville, NC, 283090908.
What is the area of specialization for David B Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David B Henderson is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When was the David B Henderson's 1184615239 issued?
The David B Henderson's 1184615239 was issued on 2005-10-28.
As of what date were the details pertaining to David B Henderson last refreshed?
The information related to the David B Henderson, including its address, specialty, and other relevant details, was last updated on 2016-07-12.