Individual
DR. ZEB K HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF INTERNAL MEDICINE, JACKSON, MS 39216-4500
(601) 984-5770
(601) 984-6853
Mailing address
2500 NORTH STATE STREET, DIVISION OF GENERAL INTERNAL MEDICINE, JACKSON, MS 39216-4500
(601) 984-5770
(601) 984-6853
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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