Individual
MRS. REBEKAH O HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CALLEN BLVD STE 330, SUMMERVILLE, SC 29486-2816
(843) 763-2857
(843) 606-8053
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2624
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2880PA
—
SC
Enumeration date
10/21/2016
Last updated
03/20/2024
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