Individual
MR. JOHN HENLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1839 QUIET COVE, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1575
Mailing address
1839 QUIET COVE, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
(910) 323-1575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17991
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41623
BCBS
NC
05
—
8941623
—
NC
Enumeration date
04/22/2006
Last updated
03/17/2010
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