Individual
CHARLES HADDON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 PHARR RD NE UNIT 729, ATLANTA, GA 30305-2071
(404) 791-8070
(404) 400-5431
Mailing address
400 PHARR RD NE UNIT 729, ATLANTA, GA 30305-2071
(404) 791-8070
(404) 400-5431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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