Individual
DR. ALBERT EBEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 OAK ST, SAINT SIMONS ISLAND, GA 31522-4725
(912) 258-4075
(912) 634-2371
Mailing address
330 OAK ST, SAINT SIMONS ISLAND, GA 31522-4725
(912) 258-4075
(912) 634-2371
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
024849
GA
Other
Enumeration date
10/10/2006
Last updated
08/10/2010
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