Organization
TERRY L. HENDERSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE T DOTLICH (BILLING MANAGER)
(317) 846-4366
Entity
Organization
Contact information
Practice address
8801 N MERIDIAN ST STE 208, INDIANAPOLIS, IN 46260-5315
(317) 846-4366
(317) 815-2249
Mailing address
8801 N MERIDIAN ST STE 208, INDIANAPOLIS, IN 46260-5315
(317) 846-4366
(317) 815-2249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024494
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083676
ANTHEM BC BS
IN
Enumeration date
09/14/2007
Last updated
06/28/2010
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