Individual
MR. TERRANCE B HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
3180 N POINT PKWY STE 302, ALPHARETTA, GA 30005-4381
(404) 800-5181
Mailing address
2789 SATELLITE BLVD UNIT 2119, DULUTH, GA 30096-5904
(317) 373-2184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP000193
GA
Other
Enumeration date
08/04/2021
Last updated
11/11/2022
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