Individual
DR. TRIONA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS PATHOLOGY, GREENVILLE, NC 27834-4300
(252) 744-2803
(252) 744-3616
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2016-01696
NC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2016-01696
NC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD450382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316200918
—
NC
01
—
19KMJ
BCBS OF NC
NC
Enumeration date
06/19/2012
Last updated
11/21/2016
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