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Individual

DR. ZEB K HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19909
MS
208000000X
Pediatrics Physician
19909
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02930560
MS
05
185909
AL
05
2142763
LA
01
P01118800
RAILROAD MEDICARE PTAN
MS
Enumeration date
05/24/2007
Last updated
06/13/2016
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