Individual
RICK A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HEALTHY WAY, SUITE 1120, ANDERSON, SC 29621-7915
(864) 512-4530
(864) 512-4540
Mailing address
100 HEALTHY WAY, SUITE 1120, ANDERSON, SC 29621-7915
(864) 512-4530
(864) 512-4540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2005-00371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376220
—
SC
05
—
5913253
—
NC
Enumeration date
08/13/2006
Last updated
03/24/2016
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