Individual
MARY GRACE ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-7574
Mailing address
3546 SANDY WOODS LN, STONE MOUNTAIN, GA 30083-4054
(770) 625-0810
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN308389
GA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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