Individual
KERRI FORRESTER HENSARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 MEDICAL DR STE 405, LAGRANGE, GA 30240-4145
(706) 803-7690
(706) 803-8803
Mailing address
303 MEDICAL DR STE 405, LAGRANGE, GA 30240-4145
(706) 803-7690
(706) 803-8803
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
97813
GA
207V00000X
Obstetrics & Gynecology Physician
MD.28103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913488
—
AL
01
—
515-44290
BCBS
AL
Enumeration date
08/01/2007
Last updated
09/26/2024
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