# HENDERSON CLINIC FOR WOMEN PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henderson Clinic For Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104829183
- **Authorized official:** MS. NANCY P KING (OFFICE MANAGER)
- **Authorized official phone:** (252) 492-8576

## Contact information

- **Practice address:** 511 RUIN CREEK RD, STE 101, HENDERSON, NC 27536-5919
- **Practice address phone:** (252) 492-8576
- **Practice address fax:** (252) 492-7464
- **Mailing address:** 511 RUIN CREEK RD, STE 101, HENDERSON, NC 27536-5919
- **Mailing address phone:** (252) 492-8576
- **Mailing address fax:** (252) 492-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 39877 | NC | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 08/22/2020