Individual
DR. GROVER CLEVELAND HENDERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W ALEXANDER AVE, SUITE F, GREENWOOD, SC 29646-4078
(864) 227-1144
(864) 943-4337
Mailing address
139 GATEWOOD DR, GREENWOOD, SC 29646-8516
(864) 223-4477
(864) 943-4337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008527
SC
Other
Enumeration date
05/11/2006
Last updated
08/17/2010
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