Individual
ROBERT ANDREW HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017-00541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10054Q
—
SC
05
—
1295025906
—
NC
Enumeration date
04/14/2011
Last updated
10/13/2017
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