Individual
AUDREY S HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-5723
(864) 455-5723
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7696
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
85289
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
87902
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
05/19/2015
Last updated
02/10/2023
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