Individual
LATASHA DAWN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE B329, MOBILE, AL 36608-6756
(251) 660-3510
(251) 660-3511
Mailing address
6701 AIRPORT BLVD STE B329, MOBILE, AL 36608-6756
(251) 660-3510
(251) 660-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47934
KY
207RG0100X
Gastroenterology Physician
Primary
MD.37143
AL
Other
Enumeration date
04/05/2012
Last updated
11/08/2018
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