Individual
MICHAEL ANDREW MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
(770) 460-4747
(678) 673-5102
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
38084
IA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
65285
GA
208100000X
Physical Medicine & Rehabilitation Physician
7369
SD
208100000X
Physical Medicine & Rehabilitation Physician
J8053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021RJ
BCBS
TX
01
—
00648D
BCBS OF TEXAS
TX
05
—
1312217-03
—
TX
01
—
8AW792
BCBS
TX
01
—
P00186848
MEDICARE RAILROAD
TX
01
—
P01099522
RR MEDICARE
GA
Enumeration date
10/31/2006
Last updated
05/27/2020
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