Organization
HENDERSON CLINIC FOR WOMEN PA
Active
Other names
Henderson Clinic For Women
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY P KING (OFFICE MANAGER)
(252) 492-8576
Entity
Organization
Contact information
Practice address
511 RUIN CREEK RD, STE 101, HENDERSON, NC 27536-5919
(252) 492-8576
(252) 492-7464
Mailing address
511 RUIN CREEK RD, STE 101, HENDERSON, NC 27536-5919
(252) 492-8576
(252) 492-7464
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
39877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16402
WELLPATH GROUP ID
NC
01
—
7808539
AETNA GROUP ID
NC
05
—
89-01757
—
NC
Enumeration date
05/24/2005
Last updated
08/22/2020
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