Individual
DR. JAMES T HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4816 MERRIMAN WALK SE, ATLANTA, GA 30339-9017
(662) 229-8136
Mailing address
4816 MERRIMAN WALK SE, ATLANTA, GA 30339-9017
(662) 229-8136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH30134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH30134
STATE LICENSE
GA
Enumeration date
11/24/2020
Last updated
11/24/2020
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