Individual
ROBERT CLARK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 TIVERTON LN, ASHEVILLE, NC 28803-1909
(828) 505-2731
Mailing address
44 TIVERTON LN, ASHEVILLE, NC 28803-1909
(828) 505-2731
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200201366
NC
207VG0400X
Gynecology Physician
Primary
200201366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13222
BCBS
—
05
—
2007309000
—
WV
01
—
4504794
AETNA
—
05
—
6217354
—
VA
01
—
801640
PARTNERS
—
05
—
8913222
—
NC
01
—
C1683
MEDCOST
—
05
—
Q0136B
—
SC
Enumeration date
11/22/2005
Last updated
05/27/2010
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