Individual
DR. BARRY MERLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RIVERS STATE PRISON, MEDICAL DEPARTMENT, HARDWICK, GA 31034-1500
(478) 445-6774
Mailing address
3634 SUSSEX DR NE, MILLEDGEVILLE, GA 31061-9339
(478) 445-6774
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
016246
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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