Individual
BENNIE S HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
157 B S GREENWOOD AVE EXT, WARE SHOALS, SC 29692
(864) 456-3447
(864) 725-4979
Mailing address
157 B S GREENWOOD AVE EXT, WARE SHOALS, SC 29692
(864) 456-3447
(864) 725-4979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F945
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0089
—
SC
Enumeration date
08/07/2006
Last updated
04/29/2009
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