Individual
DR. ROBERT LAND HENDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 1ST ST N, SUITE 201, ALABASTER, AL 35007-8706
(205) 621-9500
(205) 621-9507
Mailing address
1022 1ST ST N, SUITE 201, ALABASTER, AL 35007-8706
(205) 621-9500
(205) 621-9507
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00025681
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532549
BCBS
AL
Enumeration date
09/27/2005
Last updated
12/20/2012
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