Individual
DR. JEREMY W. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-5038
Mailing address
2293 ASCOT LN, BIRMINGHAM, AL 35216-6133
(205) 934-4303
(205) 934-5499
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27082
AL
Other
Enumeration date
05/23/2007
Last updated
07/09/2007
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