Organization
FIX KIDS, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES HENDERSON M.D. (PRESIDENT)
(336) 274-2711
Entity
Organization
Contact information
Practice address
2507 BATTLEGROUND AVE, SUITE B, GREENSBORO, NC 27408-4003
(336) 274-2711
Mailing address
2507 BATTLEGROUND AVE, SUITE B, GREENSBORO, NC 27408-4003
(336) 274-2711
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152B
BCBS
NC
05
—
890152B
—
NC
Enumeration date
03/07/2008
Last updated
03/07/2023
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