Individual
DR. CHRISTOPHER JERNARD HENRY
Active
Individual
DR. CHRISTOPHER JERNARD HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689784589
GROUP NPI
GA
05
—
578944681B
—
GA
01
—
GRP7965
MEDICARE GIN
GA
01
—
P00392068
RR MEDICARE PIN
GA
Enumeration date
10/27/2006
Last updated
01/11/2010
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