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Individual

EDMOND CHARLES HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., P.H.D.

Contact information

Practice address
19280 HOWARD AVE, CITRONELLE, AL 36522-2016
(251) 866-9811
Mailing address
PO BOX 495, CITRONELLE, AL 36522-0495
(251) 866-9811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACSC6534
AL

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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