Individual
SAMUEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-0367
NM
208M00000X
Hospitalist Physician
93050
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2017
Last updated
04/03/2026
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