Individual
DR. GREGORY SHANNON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2197
(757) 953-7001
(757) 953-6909
Mailing address
1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3078
(757) 395-1850
(757) 222-9360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101250176
VA
Other
Enumeration date
06/22/2010
Last updated
07/16/2020
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