Individual
DR. ANGELA M. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4992 OLD HWY #5, WOODSTOCK, GA 30188
(770) 592-1986
Mailing address
218 WHITESTONE DR, CANTON, GA 30115-4189
(770) 720-8346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006198
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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