Individual
CHARLENE KEATING HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16721 ORCHARD STONE RUN, CHARLOTTE, NC 28277-3823
(704) 817-3800
Mailing address
16721 ORCHARD STONE RUN, CHARLOTTE, NC 28277-3823
(704) 817-3800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1732
NC
Other
Enumeration date
10/14/2008
Last updated
02/08/2013
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