Individual
NICHOLAS LEVI HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 320-2773
(706) 596-4226
Mailing address
PO BOX 9263, COLUMBUS, GA 31908-9263
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
069517
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145933A
—
GA
05
—
159392
—
AL
Enumeration date
05/29/2008
Last updated
05/13/2026
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