Individual
DR. MARK HENRY HENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 323-1100
(828) 324-9189
Mailing address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 323-1100
(828) 324-9189
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3760384
CAROLINA CARE PLAN (PHP)
NC
05
—
8941658
—
NC
Enumeration date
03/31/2006
Last updated
11/23/2009
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