Individual
MICHELE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
143 CANAL STREET, SUITE 200, POOLER, GA 31322
(912) 348-4100
Mailing address
143 CANAL STREET, SUITE 200, POOLER, GA 31322
(912) 348-4100
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
073306
GA
207K00000X
Allergy & Immunology Physician
ME115621
FL
Other
Enumeration date
01/04/2007
Last updated
09/01/2015
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