Individual
ANITA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 STATE FARM RD, BOONE, NC 28607-5021
(828) 264-0550
(828) 262-3529
Mailing address
950 STATE FARM RD, BOONE, NC 28607-5021
(828) 264-0550
(828) 262-3529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8941375
—
NC
Enumeration date
01/04/2006
Last updated
05/21/2008
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