Individual
REX A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 1856, PAWLEYS ISLAND, SC 29585-1856
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034E
BCBS
NC
05
—
7941386
—
NC
01
—
930047870
RAILROAD
NC
05
—
Q26936
—
SC
Enumeration date
04/08/2006
Last updated
03/16/2009
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