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Organization

MARK J HENSON DPM PC

Active
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Organization

MARK J HENSON DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK HENSON (OWNER)
(770) 228-6644
Entity
Organization

Contact information

Practice address
730 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-6644
(770) 228-5769
Mailing address
730 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-6644
(770) 228-5769

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000897
GA

Other

Enumeration date
11/30/2007
Last updated
02/03/2010
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