Everett Randall Henderson in Hattiesburg - Neonatal-perinatal Medicine
Everett Randall Henderson - NPI 1609904515
Everett Randall Henderson is a Neonatal-perinatal Medicine in Hattiesburg, Mississippi. Everett Randall Henderson practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Everett Randall Henderson is 1609904515. The last update date is 2007-07-08.
Everett Randall Henderson's current location address is 1108 Oakleigh Dr, Hattiesburg, Mississippi. You can contact this provider via phone number 6012883440 and fax number 6012883451. The mailing address for Everett Randall Henderson is 1108 Oakleigh Dr, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Everett Randall Henderson |
|---|---|
| Address | 1108 Oakleigh Dr, Hattiesburg, Mississippi |
| Phone Number | 6012883440 |
| Fax Number | 6012883451 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609904515 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1108 Oakleigh Dr |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394023068 |
| Phone Number | 6012883440 |
| Fax Number | 6012883451 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | 14669 |
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Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117106 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Everett Randall Henderson by the Centers for Medicare & Medicaid Services (CMS)?
The Everett Randall Henderson has been assigned the NPI (National Provider Identifier) 1609904515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Everett Randall Henderson?
The Everett Randall Henderson is physically situated at 1108 Oakleigh Dr, in the city of Hattiesburg, state of MS, with the postal code 394023068.
What is Everett Randall Henderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Everett Randall Henderson's specialized field of practice is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080N0001X.
On what date did Everett Randall Henderson receive its 1609904515 assignment from the Centers for Medicare & Medicaid Services?
The Everett Randall Henderson was assigned its 1609904515 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Everett Randall Henderson's information last updated?
The Everett Randall Henderson's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC